Organization
SACRED ROOT ACUPUNCTURE & NATUROPATHIC MEDICINE
Active
Other names
Sacred Root Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L GREEN LAC, (CO-OWNER, PRACTITIONER)
(425) 256-7798
Entity
Organization
Contact information
Practice address
611 MAIN ST, SUITE A, EDMONDS, WA 98020-3096
(425) 229-1070
Mailing address
611 MAIN ST, SUITE A, EDMONDS, WA 98020-3096
(425) 256-7798
(425) 274-3409
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60244418
WA
175F00000X
Naturopath
60515973
WA
261Q00000X
Clinic/Center
#AC60244418
WA
261Q00000X
Clinic/Center
AC155797
OR
Other
Enumeration date
02/10/2012
Last updated
08/03/2016
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