Provider Demographics
NPI:1538583257
Name:MANY PATHS ACUPUNCTURE, PC
Entity type:Organization
Organization Name:MANY PATHS ACUPUNCTURE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DUHAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP
Authorized Official - Phone:360-621-8310
Mailing Address - Street 1:700 PROSPECT ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-5399
Mailing Address - Country:US
Mailing Address - Phone:360-621-8310
Mailing Address - Fax:866-313-4004
Practice Address - Street 1:700 PROSPECT ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-5399
Practice Address - Country:US
Practice Address - Phone:360-621-8310
Practice Address - Fax:866-313-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty