Provider Demographics
NPI:1902854763
Name:CALMES, MARYLEE (MS, LAC, CCHM)
Entity Type:Individual
Prefix:
First Name:MARYLEE
Middle Name:
Last Name:CALMES
Suffix:
Gender:F
Credentials:MS, LAC, CCHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 116TH AVE NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5208
Mailing Address - Country:US
Mailing Address - Phone:425-462-9355
Mailing Address - Fax:425-450-0691
Practice Address - Street 1:511 116TH AVE NE
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5208
Practice Address - Country:US
Practice Address - Phone:425-462-9355
Practice Address - Fax:425-450-0691
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000355171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist