Provider Demographics
NPI:1598174971
Name:STURGEON, SKYE (DAOM)
Entity type:Individual
Prefix:DR
First Name:SKYE
Middle Name:
Last Name:STURGEON
Suffix:
Gender:M
Credentials:DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 NE 141ST PLACE
Mailing Address - Street 2:F206
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4038
Mailing Address - Country:US
Mailing Address - Phone:425-968-8390
Mailing Address - Fax:
Practice Address - Street 1:7320 NE 141ST PLACE
Practice Address - Street 2:F206
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4038
Practice Address - Country:US
Practice Address - Phone:425-968-8390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-10
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC767171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist