# EASTSIDE GENTLE ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1821616384
- **Authorized official:** MRS. ROKHSAREH MOHAMMADI ACUPUNCTURIST (PRESIDENT OF THE COMPANY)
- **Authorized official phone:** (425) 638-9098

## Contact information

- **Practice address:** 1427 228TH ST SE STE D1, BOTHELL, WA 98021-7407
- **Practice address phone:** (425) 835-6299
- **Mailing address:** 14120 NE 183RD ST \# 1-410, WOODINVILLE, WA 98072-7070
- **Mailing address phone:** (425) 638-9098

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 07/10/2020