Organization
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Active
Parent organization
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST INTEGRATIVE MEDICINE, PLLC
Authorized official
DR. GEOFFREY M LECOVIN DC, ND, LAC (OWNER)
(425) 999-4484
Entity
Organization
Contact information
Practice address
11520 NE 20TH ST, BELLEVUE, WA 98004-3005
(425) 999-4484
(425) 999-4484
Mailing address
11520 NE 20TH ST, BELLEVUE, WA 98004-3005
(425) 999-4484
(425) 999-4484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
10/19/2011
Last updated
03/06/2014
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