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Organization
INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC
Active
Organization
INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DE BEIJL L.AC, PT (OWNER)
(206) 623-2220
Entity
Organization
Contact information
Practice address
2505 2ND AVE STE 100, SEATTLE, WA 98121
(206) 624-4020
(206) 443-3888
Mailing address
720 OLIVE WAY STE 900, SEATTLE, WA 98101-1840
(206) 623-2220
(206) 623-2228
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00002074
WA
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162840
L&I GROUP #
WA
Enumeration date
06/27/2007
Last updated
04/13/2022
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