| Provider Type: | Other Service Providers |
| Provider Classification: | Acupuncturist |
| Definition of Specialization: | |
| Address: |
6405 Ne 116th Ave Suite 104 Vancouver, WA 98662-2401 |
| Phone: | (360) 892-4355 |
| Authorized Official: | Lee, Michael Young Joon, L.AC., EAMP, MACOM |
| Authorized Official Position: | Owner/operator |
| Authorized Official Phone: | (360) 892-4355 |
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