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Organization
SOURCE WELLNESS CENTER PLLC
Active
Organization
SOURCE WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIRA JORGENSEN (OWNER)
(425) 533-7320
Entity
Organization
Contact information
Practice address
2320 130TH AVE NE STE 110, BELLEVUE, WA 98005-1752
(425) 533-7320
Mailing address
2320 130TH AVE NE STE 110, BELLEVUE, WA 98005-1752
(425) 533-7320
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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