Provider Demographics
NPI:1043004146
Name:BALANCED ELEMENTS ACUPUNCTURE & CHINESE HERBAL MEDICINE
Entity type:Organization
Organization Name:BALANCED ELEMENTS ACUPUNCTURE & CHINESE HERBAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DIONEA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NADIR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:206-678-5247
Mailing Address - Street 1:654 SW 130TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3232
Mailing Address - Country:US
Mailing Address - Phone:206-678-5247
Mailing Address - Fax:
Practice Address - Street 1:15314 4TH AVE SW STE A
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2340
Practice Address - Country:US
Practice Address - Phone:206-678-5247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty