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Individual

SETH POPHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC, LMP

Contact information

Practice address
922 S COWLEY ST STE 3, SPOKANE, WA 99202-1263
(509) 995-7070
(509) 838-7825
Mailing address
922 S COWLEY ST STE 3, SPOKANE, WA 99202-1263
(509) 995-7070
(509) 838-7825

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC2144
WA
225700000X
Massage Therapist
MA 14529
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166466
L&I PROVIDER #
WA
Enumeration date
11/08/2006
Last updated
06/02/2022
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