Institute of Qigong & Integrative Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INSTITUTE OF QIGONG & INTEGRATIVE MEDICINE

Practice address

10127 Main PL
Suite B
Bothell, WA 98011-3402

Phone

(206) 290-6072

NPI assigned

Nov 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Guan-Cheng Sun, PH.D.

Title

Executive Director

Phone

(206) 290-6072

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1386074235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10127 MAIN PL",
            "address_2": "SUITE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10127 MAIN PL",
            "address_2": "SUITE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113402",
            "telephone_number": "206-290-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF QIGONG & INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "GUAN-CHENG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-290-6072",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.