Provider Demographics
NPI:1124067517
Name:SPECTRUM HEALING ARTS CENTER INC
Entity type:Organization
Organization Name:SPECTRUM HEALING ARTS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONLON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:425-776-5353
Mailing Address - Street 1:3031 205TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7833
Mailing Address - Country:US
Mailing Address - Phone:425-776-5353
Mailing Address - Fax:425-776-0575
Practice Address - Street 1:3031 205TH PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7833
Practice Address - Country:US
Practice Address - Phone:425-776-5353
Practice Address - Fax:425-776-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000011171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty