Provider Demographics
NPI:1740322734
Name:HUANG, VANDA LEE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:VANDA
Middle Name:LEE
Last Name:HUANG
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 7TH AVE NW UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4950
Mailing Address - Country:US
Mailing Address - Phone:206-635-7704
Mailing Address - Fax:206-635-7704
Practice Address - Street 1:7005 7TH AVE NW UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-4950
Practice Address - Country:US
Practice Address - Phone:206-635-7704
Practice Address - Fax:206-649-8045
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003416-1171100000X
WAAC60185162171100000X
ORAC01030171100000X
WANT60173382175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist