# GOODMEDIZEN PS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GoodMedizen Acupuncture & Herbs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184090748
- **Authorized official:** ERIC LEE MARTIN EAMP (PRESIDENT)
- **Authorized official phone:** (206) 402-3813

## Contact information

- **Practice address:** 509 OLIVE WAY, STE 1401, SEATTLE, WA 98101-1720
- **Practice address phone:** (206) 402-3813
- **Practice address fax:** (206) 629-2267
- **Mailing address:** 509 OLIVE WAY, STE 1401, SEATTLE, WA 98101-1720
- **Mailing address phone:** (206) 402-3813
- **Mailing address fax:** (206) 629-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00003083 | WA | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 08/18/2015