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Lily Jei-Ho Chang — NPI 1043664436, Kirkland, WA | NPI Central

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NPI 1043664436

OrganizationActive

Lily Jei-Ho Chang

NPI 1043664436 · Non-Pharmacy Dispensing Site · Kirkland, WA

Provider details

NPI number: 1043664436
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Lily Jei-Ho Chang
Organization subpart: Yes
Authorized official: Lily Chang, Owner(425) 286-7018
License: NT60454183 (WA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense NT60454183 (WA)
Suppliers

Practice location

12710 102nd Ave Ne

Kirkland, WA 98034-2847

Phone: (425) 286-7018

Fax: (888) 431-8819

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

2980 N Beverly Glen Cir

Los Angeles, CA 90077-1726

Other names (DBA / former)

Doing business as: E-Tao Integrative Medicine

Registry dates

Enumerated: 2016-04-21
Last updated: 2016-04-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.