# SILVERLAKE CLINIC INC.

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

## Provider details

- **NPI number:** 1992361000
- **Authorized official:** JUNGMIN AHN L.AC. (OWNER)
- **Authorized official phone:** (425) 523-8878

## Contact information

- **Practice address:** 11419 19TH AVE SE STE C106, EVERETT, WA 98208-5120
- **Practice address phone:** (425) 523-8878
- **Practice address fax:** (425) 523-8868
- **Mailing address:** 11419 19TH AVE SE STE C106, EVERETT, WA 98208-5120
- **Mailing address phone:** (425) 523-8878
- **Mailing address fax:** (425) 523-8868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/14/2019
- **Last updated:** 05/14/2019