E-TAO INTEGRATIVE MEDICINE
NPI 1043664436
Non-Pharmacy Dispensing Site in Kirkland, WA

Active since April 21, 2016
12710 102ND AVE NE, KIRKLAND, WA 98034(425) 286-7018(888) 431-8819 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About E-TAO INTEGRATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for E-tao Integrative Medicine, a provider established in Kirkland, Washington operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1043664436 assigned on April 2016. The practitioner's primary taxonomy code is 332900000X with license number NT60454183 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as E-tao Integrative Medicine. The authorized official of this NPI record is Lily Jei-ho Chang N.d. (Owner)

NPI
1043664436 Verify this NPI
Provider Legal Name
LILY JEI-HO CHANG
Other Organization Name
E-TAO INTEGRATIVE MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12710 102ND AVE NE KIRKLAND, WA 98034
Location Phone
(425) 286-7018
Location Fax
(888) 431-8819
Mailing Address
2980 N BEVERLY GLEN CIR SUITE 100 LOS ANGELES, CA 90077
Mailing Phone
(310) 943-4180
Mailing Fax
(888) 431-8819
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-21-2016
Last Update Date
04-21-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
NT60454183
License State
WA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LILY JEI-HO CHANG N.D.

Authorized Official Title
OWNER
Authorized Official Phone
(425) 286-7018

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043664436, enumerated as an "organization" on April 21, 2016.

The provider is located at 12710 102ND AVE NE KIRKLAND, WA 98034 and the phone number is (425) 286-7018.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.