Lynnwood Integrative Acupuncture Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LYNNWOOD INTEGRATIVE ACUPUNCTURE CLINIC LLC

Practice address

4620 200TH St SW Ste a
Lynnwood, WA 98036-6607

Phone

(425) 672-2838

Fax

(425) 672-2988

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gumthorn Punchaanon

Title

Manager

Phone

(714) 916-8705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khwansiri Jongwiwattham, L.AC

  • Acupuncturist
  • Lynnwood, WA
  • NPI 1083140008
  NPD (past)

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1801759824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 200TH ST SW STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366607",
            "telephone_number": "425-672-2838",
            "fax_number": "425-672-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 200TH ST SW STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366607",
            "telephone_number": "425-672-2838",
            "fax_number": "425-672-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNWOOD INTEGRATIVE ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "PUNCHAANON",
        "authorized_official_first_name": "GUMTHORN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-916-8705"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnwood Dental Care
• Lynnwood Dental Excellence DDS MSD PS Inc (Lynnwood Dental Center)
• Lynnwood Family Chiropractic
• Lynnwood Family Chiropractic PS
• Lynnwood Health Services, Inc. (Lynnwood Post Acute Rehabilitation Center)
• Lynnwood Medical Center, Incorporated, P.S. (Lynnwood Medical Center)
• Lynnwood SNF Operations LLC (Alderwood Post Acute & Rehabilitation)
• Lynnwood Speech & Language Services (Susan E. Stewart)
• Lynnwoodsmiles
• M Jay Campbell D C P S

• Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.