# RAVEN NATURAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brendon Fegan LAc, Rebel Med NW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588138762
- **Authorized official:** BRENDON FEGAN LAC (OWNER, ACUPUNCTURIST)
- **Authorized official phone:** (734) 904-2045

## Contact information

- **Practice address:** 5401 LEARY AVE NW STE 204, SEATTLE, WA 98107-4070
- **Practice address phone:** (206) 297-6013
- **Mailing address:** 1037 NE 65TH ST STE 365, SEATTLE, WA 98115-6655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2019
- **Last updated:** 02/21/2020