| NPI | 1760755425 |
|---|---|
| Doing Business As | SACRED ROOT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOSHUA L GREEN Co Owner, Practitioner 425-256-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA 60244418) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA 60515973) |
| 261Q00000X Clinic/Center (Licence: OR AC155797) | |
| 261Q00000X Clinic/Center (Licence: WA #AC60244418) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2016-08-03 |