Individual
JENNIFER EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
360 NW 47TH ST, SEATTLE, WA 98107-4445
(206) 777-5187
Mailing address
360 NW 47TH ST, SEATTLE, WA 98107-4445
(206) 777-5187
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60967855
WA
225700000X
Massage Therapist
MA 60483772
WA
Other
Enumeration date
07/25/2014
Last updated
01/23/2020
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