Provider Demographics
NPI:1386271088
Name:JESSICA AUCKLY EAMP
Entity type:Organization
Organization Name:JESSICA AUCKLY EAMP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCKLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-282-5386
Mailing Address - Street 1:600 W MCGRAW ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-5801
Mailing Address - Country:US
Mailing Address - Phone:206-282-5386
Mailing Address - Fax:
Practice Address - Street 1:600 W MCGRAW ST STE 1
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-5801
Practice Address - Country:US
Practice Address - Phone:206-282-5386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty