Organization
INTEGRATIVE MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASAHIRO TAKAKURA (PRESIDENT)
(206) 799-4178
Entity
Organization
Contact information
Practice address
8012 15TH AVE NW, SEATTLE, WA 98117-3601
(206) 708-1212
Mailing address
8012 15TH AVE NW, SEATTLE, WA 98117-3601
(206) 708-1212
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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