Provider Demographics
NPI:1366989873
Name:BECHTOLD-WRIGHT, JON (LAC, EAMP)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:
Last Name:BECHTOLD-WRIGHT
Suffix:
Gender:M
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2832 22ND AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2917
Mailing Address - Country:US
Mailing Address - Phone:206-420-6615
Mailing Address - Fax:
Practice Address - Street 1:1817 QUEEN ANNE AVE N STE 402
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2876
Practice Address - Country:US
Practice Address - Phone:206-420-6615
Practice Address - Fax:206-548-4493
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-22
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60708636171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist