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Organization
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Active
Organization
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Active
Parent organization
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Authorized official
DR. GEOFFREY M LECOVIN DC, ND, LAC (OWNER)
(425) 999-4484
Entity
Organization
Contact information
Practice address
11520 NE 20TH ST, BELLEVUE, WA 98004-3005
(425) 999-4484
(425) 999-4484
Mailing address
11520 NE 20TH ST, BELLEVUE, WA 98004-3005
(425) 999-4484
(425) 999-4484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
10/19/2011
Last updated
03/06/2014
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