# PREMIER ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1790082428
- **Authorized official:** MICHAEL YOUNG JOON LEE L.AC., EAMP, MACOM (OWNER/OPERATOR)
- **Authorized official phone:** (360) 892-4355

## Contact information

- **Practice address:** 6405 NE 116TH AVE, SUITE 104, VANCOUVER, WA 98662-2401
- **Practice address phone:** (360) 892-4355
- **Mailing address:** 6405 NE 116TH AVE, SUITE 104, VANCOUVER, WA 98662-2401
- **Mailing address phone:** (360) 892-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 60197003 | WA | Yes |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 02/15/2011