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SACRED ROOT ACUPUNCTURE & NATUROPATHIC MEDICINE NPI 1760755425


NPI Information

NPI: 1760755425
Provider Name: SACRED ROOT ACUPUNCTURE & NATUROPATHIC MEDICINE

Doing Business As: SACRED ROOT MEDICINE

Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
611 MAIN ST
SUITE A
EDMONDS, WA
ZIP 98020
Phone: (425) 229-1070
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SACRED ROOT ACUPUNCTURE & NATUROPATHIC MEDICINE is an acupuncturist in Edmonds, WA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. SACRED ROOT ACUPUNCTURE & NATUROPATHIC MEDICINE NPI is 1760755425. The provider is registered as an organization entity type.
The provider Is Doing Business As Sacred Root Medicine.

The provider's business location address is:

611 MAIN ST
SUITE A
EDMONDS, WA
ZIP 98020-096
Phone: (425) 229-1070

The provider's authorized official is Joshua L Green .
The authorized official title is Co-owner, Practitioner and has the following contact phone number (425) 256-7798.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 8/3/2016.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterAC155797OREGONNo
2261Q00000XClinic/Center#AC60244418WASHINGTONNo
3175F00000XNaturopath60515973WASHINGTONNo
4171100000XAcupuncturist60244418WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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