Provider Demographics
NPI:1700761038
Name:ASTER INTEGRATIVE MEDICINE PLLC
Entity type:Organization
Organization Name:ASTER INTEGRATIVE MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:WAKELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-803-1045
Mailing Address - Street 1:21827 76TH AVE W STE 201
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7981
Mailing Address - Country:US
Mailing Address - Phone:206-803-1045
Mailing Address - Fax:800-905-2197
Practice Address - Street 1:21827 76TH AVE W STE 201
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7981
Practice Address - Country:US
Practice Address - Phone:206-803-1045
Practice Address - Fax:800-905-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center