RYAN POTVIN ACUPUNCTURE PLLC (NPI# 1992218713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992218713 |
| Entity Type | Organization |
| Organization Name | RYAN POTVIN ACUPUNCTURE PLLC |
| Other Organization Name | EVERGREEN ACUPUNCTURE CLINIC AND CHINESE HERBS |
| Practice Address |
4610 200th St Sw Ste B Lynnwood WA 98036-6606 |
| Practice Telephone | 4257748931 |
| Mailing Telephone | 4257748931 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | RYAN POTVIN (OWNER) |
| Authorized Official Telephone | 4257748931 |
| Authorized Official Credential | EAMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC60625379 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Evergreen Acupuncture Clinic and Chinese Herbs | Doing Business As Name - Organization |
| Street Address |
4610 200TH ST SW STE B |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443918 | Susan Lupita Parker | Acupuncturist | 6510 208th St Sw Apt E7, Lynnwood, WA 98036-8537 | 2020-09-26 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1932668316 | Feven Haile | Acupuncturist | 14927 17th Pl W, Lynnwood, WA 98087-8795 | 2019-03-15 |
| 1659829372 | Barbara Joie Jacala | Acupuncturist | 6111 190th St Sw, Lynnwood, WA 98036-5136 | 2016-09-12 |
| 1619366093 | Appletree Acupuncture Clinic | Acupuncturist | 4629 168th St Sw # C4, Lynnwood, WA 98037-8640 | 2015-01-22 |
| 1093104689 | Seol Ryu Hwang | Acupuncturist | 3333 184th St Sw Ste W, Lynnwood, WA 98037-4742 | 2015-01-20 |
| 1336492990 | Sung Soo Han | Acupuncturist | 4710 168th St Sw, Lynnwood, WA 98037 | 2012-10-19 |
| 1649598673 | Aci Health & Wellness Center Pllc | Acupuncturist | 18205 Alderwood Mall Pkwy Ste K, Lynnwood, WA 98037-3913 | 2010-05-14 |
| 1437489333 | Amanda Luu | Acupuncturist | 6722 200th St Sw, Lynnwood, WA 98036-5932 | 2009-12-28 |
| 1548442171 | Elizabeth Holmes | Acupuncturist | 4025 176th Pl Sw, Lynnwood, WA 98037-7522 | 2007-12-05 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.