Organization
WHITE SALMON ACUPUNCTURE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA WHITRIDGE LAC (PARTNER)
(360) 524-2788
Entity
Organization
Contact information
Practice address
418 NE TOHOMISH ST., SUITE 200, WHITE SALMON, WA 98672
(203) 536-0535
Mailing address
PO BOX 179, HUSUM, WA 98623-0179
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083215388
NPI
—
01
—
1114598141
NPI
—
01
—
1659017689
NPI TYPE 2
—
01
—
AC61132900
ACUPUNCTURE STATE LICENSE
WA
01
—
AC61153026
ACUPUNCTURE STATE LICENSE
WA
Enumeration date
05/11/2022
Last updated
06/28/2022
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