# WHITE SALMON ACUPUNCTURE LLP

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

## Provider details

- **NPI number:** 1659017689
- **Authorized official:** SERENA WHITRIDGE LAC (PARTNER)
- **Authorized official phone:** (360) 524-2788

## Contact information

- **Practice address:** 418 NE TOHOMISH ST., SUITE 200, WHITE SALMON, WA 98672
- **Practice address phone:** (203) 536-0535
- **Mailing address:** PO BOX 179, HUSUM, WA 98623-0179

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 06/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1083215388 | NPI | — |
| 01 | — | 1114598141 | NPI | — |
| 01 | — | 1659017689 | NPI TYPE 2 | — |
| 01 | — | AC61132900 | ACUPUNCTURE STATE LICENSE | WA |
| 01 | — | AC61153026 | ACUPUNCTURE STATE LICENSE | WA |