# MAPLE LEAF HEALING ARTS CLINIC

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

## Provider details

- **NPI number:** 1699075606
- **Authorized official:** GAIL MICHELLE CLEVENGER L.M.P., L.AC. (OWNER)
- **Authorized official phone:** (206) 595-4512

## Contact information

- **Practice address:** 9200 ROOSEVELT WAY NE, SEATTLE, WA 98115-2842
- **Practice address phone:** (206) 527-4568
- **Mailing address:** 9200 ROOSEVELT WAY NE, SEATTLE, WA 98115
- **Mailing address phone:** (206) 595-4512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00002247 | WA | Yes |
| 174400000X | Specialist | MA00011147 | WA | — |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 10/25/2010