Organization
PHC - CHARM ZONE ASIAN MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN PARK L.AC., O.M.D. (OWNER)
(206) 960-3308
Entity
Organization
Contact information
Practice address
8730 S TACOMA WAY, SUITE 104, LAKEWOOD, WA 98499-4521
(866) 778-9191
(253) 815-8772
Mailing address
8730 S TACOMA WAY, SUITE 104, LAKEWOOD, WA 98499-4521
(866) 778-9191
(253) 815-8772
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00000376
WA
171100000X
Acupuncturist
Primary
AC60493370
WA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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