Source Wellness Center Pllc

NPI #1447935143 in Bellevue, Washington

Provider Information

NPI Number: 1447935143
Entity Type: Organization
Organization Name: Source Wellness Center Pllc
Primary Specialty: Acupuncturist
Enumeration Date: Jun 20, 2023
Last Updated: Jun 20, 2023

Practice Location

Address: 2320 130TH AVE NE STE 110
City: Bellevue
State: Washington
ZIP Code: 98005-1752
Phone: (425) 533-7320

Authorized Official

Name: KAIRA JORGENSEN
Title: OWNER
Phone: (425) 533-7320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X
Acupuncturist	171100000X	Primary

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