# RYAN POTVIN ACUPUNCTURE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Acupuncture Clinic and Chinese Herbs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992218713
- **Authorized official:** RYAN POTVIN EAMP (OWNER)
- **Authorized official phone:** (425) 774-8931

## Contact information

- **Practice address:** 4610 200TH ST SW STE B, LYNNWOOD, WA 98036-6606
- **Practice address phone:** (425) 774-8931
- **Mailing address:** 4610 200TH ST SW STE B, LYNNWOOD, WA 98036-6606
- **Mailing address phone:** (425) 774-8931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC60625379 | WA | Yes |

## Other

- **Enumeration date:** 11/15/2017
- **Last updated:** 11/15/2017