Basic Information
| Provider Information | |||||||||
| NPI: | 1427782085 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARSDEN | ||||||||
| FirstName: | CAILIN | ||||||||
| MiddleName: | |||||||||
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| Credential: | L.AC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 128 STATE ST S APT 534 | ||||||||
| Address2: | |||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980336775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204833618 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4915 25TH AVE NE STE 104 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981058667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063157998 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2022 | ||||||||
| LastUpdateDate: | 07/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | AC61250755 | WA | Y | Other Service Providers | Acupuncturist |
No ID Information.