Provider Demographics
NPI:1356731582
Name:ADENA, SHARON (LAC DAOM)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:ADENA
Suffix:
Gender:F
Credentials:LAC DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 11TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7000
Mailing Address - Country:US
Mailing Address - Phone:206-227-4220
Mailing Address - Fax:
Practice Address - Street 1:1209 11TH ST STE 2
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7000
Practice Address - Country:US
Practice Address - Phone:206-227-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2022-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16193171100000X
WA61240714171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist