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5e Community Clinic, LLC — NPI 1457779738, Seattle, WA | NPI Central

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NPI 1457779738

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5e Community Clinic, LLC

NPI 1457779738 · Acupuncturist · Seattle, WA

Provider details

NPI number: 1457779738
Entity type: Organization
Primary specialty: AcupuncturistOther Service Providers
Authorized official: Mark Tibeau, Sole Member
License: WA-585 (WA)

Practice location

5424 Ballard Ave Nw

Suite 301

Seattle, WA 98107-4046

Phone: (206) 781-1371

Fax: (206) 781-1380

More WA providers

Mailing address

5424 Ballard Ave Nw

Seattle, WA 98107-4046

Registry dates

Enumerated: 2014-04-03
Last updated: 2014-04-03

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