Ryan Potvin Acupuncture PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60625379 Issued in WA

Legal business name

RYAN POTVIN ACUPUNCTURE PLLC

Practice address

4610 200TH St SW Ste B
Lynnwood, WA 98036-6606

Phone

(425) 774-8931

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Ryan Potvin, EAMPNPI 1851746820

Title

Owner

Phone

(425) 774-8931

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Acupuncture Clinic and Chinese Herbs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Potvin, M.AC.O.M., E.A.M.P.

  • Acupuncturist
  • Seattle, WA
  • NPI 1851746820
  NPD (past) Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1992218713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-774-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 200TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366606",
            "telephone_number": "425-774-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN POTVIN ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "POTVIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-774-8931",
        "authorized_official_credential": "EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60625379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Acupuncture Clinic and Chinese Herbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy C. Rutter, M.S., CCC-SLP
• RWW Home & Community Rehab Services, Inc.
• RWW Home and Community Rehab Services, Inc.
• RWW Pediatric Rehab Services LLC
• Ryan Larsen Psychotherapy, PLLC
• Sally Kay Rye-Gomes, MA, LPC
• Mia M Sa, LICSW
• Lara Saadeddine
• Jacqueline C Sabin
• Tatiana Sadak, ARNP

• Acupuncturist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.