# INTEGRATED CENTER FOR OPTIMUM HEALTH, LLC

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

## Provider details

- **NPI number:** 1811386212
- **Authorized official:** PAUL DE BEIJL L.AC, PT (OWNER)
- **Authorized official phone:** (206) 623-2220

## Contact information

- **Practice address:** 720 OLIVE WAY STE 900, SEATTLE, WA 98101
- **Practice address phone:** (206) 623-2220
- **Practice address fax:** (206) 623-2228
- **Mailing address:** 720 OLIVE WAY STE 900, SEATTLE, WA 98101-1840
- **Mailing address phone:** (206) 623-2220
- **Mailing address fax:** (206) 623-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00002074 | WA | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 01/22/2015
- **Last updated:** 04/13/2022
