# ACUPUNCTURE & HERBAL WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215252291
- **Authorized official:** MR. SIK CHI STANLEY CHAN L.AC., LMT (SOLE OWNER)
- **Authorized official phone:** (206) 228-0479

## Contact information

- **Practice address:** 33710 9TH AVE S STE 1, FEDERAL WAY, WA 98003-6734
- **Practice address phone:** (206) 228-0479
- **Practice address fax:** (425) 284-2499
- **Mailing address:** 33710 9TH AVE S STE 1, FEDERAL WAY, WA 98003-6734
- **Mailing address phone:** (206) 228-0479
- **Mailing address fax:** (888) 328-1218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00001891 | WA | Yes |
| 171100000X | Acupuncturist | MA00014480 | WA | — |

## Other

- **Enumeration date:** 04/01/2010
- **Last updated:** 03/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1366531758 | NPPES - INDIVIDUAL | WA |