# SKAGIT VALLEY ACUPUNCTURE & HERBS

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

## Provider details

- **NPI number:** 1619391158
- **Authorized official:** MR. MATT VAN DYKE LAC (OWNER)
- **Authorized official phone:** (360) 466-1800

## Contact information

- **Practice address:** 12 BELLWETHER WAY, SUITE 219, BELLINGHAM, WA 98225-2959
- **Practice address phone:** (360) 466-1800
- **Mailing address:** 12 BELLWETHER WAY, SUITE 219, BELLINGHAM, WA 98225-2959
- **Mailing address phone:** (360) 466-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00888 | WA | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 02/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AC00002999 | STATE LICENSE | WA |