LILY JEI-HO CHANG NPI 1043664436

NPI Information

LILY JEI-HO CHANG is a non pharmacy dispensing site in Kirkland, WA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) LILY JEI-HO CHANG NPI is 1043664436. The provider is registered as an organization entity type.
The provider Is Doing Business As E-tao Integrative Medicine.

The provider's business location address is:

12710 102ND AVE NE
KIRKLAND, WA
ZIP 98034-847
Phone: (425) 286-7018
Fax: (888) 431-8819

The provider's authorized official is Lily Jei-ho Chang .
The authorized official title is Owner and has the following contact phone number (425) 286-7018.

The enumeration date for this NPI number is 4/21/2016 and was last updated on 4/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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