# ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC PS

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

## Provider details

- **NPI number:** 1629353628
- **Authorized official:** MS. DEBORAH ROSE HOUSEWORTH L.AC. (PRESIDENT)
- **Authorized official phone:** (206) 525-0750

## Contact information

- **Practice address:** 2366 EASTLAKE AVE E, SUITE 431, SEATTLE, WA 98102-3366
- **Practice address phone:** (206) 525-0750
- **Practice address fax:** (206) 524-6530
- **Mailing address:** 6826 28TH AVE NE, SEATTLE, WA 98115-7145
- **Mailing address phone:** (206) 525-0750
- **Mailing address fax:** (206) 524-6530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH00003885 | WA | — |
| 171100000X | Acupuncturist | AC00000208 | WA | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 06/03/2015