Provider Demographics
NPI:1699910216
Name:MAAHS, DEBORAH RENEE (LAC, EAMP)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:RENEE
Last Name:MAAHS
Suffix:
Gender:F
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5932 185TH CT NE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-6057
Mailing Address - Country:US
Mailing Address - Phone:425-440-1357
Mailing Address - Fax:
Practice Address - Street 1:1200 116TH AVE NE STE F
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3802
Practice Address - Country:US
Practice Address - Phone:425-200-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8890171100000X
WAAC60914199171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist