Provider Demographics
NPI:1952871410
Name:DENNIS, BARBARA (L AC, RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:L AC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 NICHOLSON RD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-6402
Mailing Address - Country:US
Mailing Address - Phone:828-424-1670
Mailing Address - Fax:
Practice Address - Street 1:1404 NE 134TH ST STE 180C
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2799
Practice Address - Country:US
Practice Address - Phone:828-424-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61266477171100000X
NC1005171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist