Provider Demographics
NPI:1003240920
Name:SKLUZACEK, ASHLEY (ND, LM)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SKLUZACEK
Suffix:
Gender:F
Credentials:ND, LM
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:RAICHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LM
Mailing Address - Street 1:15650 NE 24TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2460
Mailing Address - Country:US
Mailing Address - Phone:425-505-2745
Mailing Address - Fax:425-505-2579
Practice Address - Street 1:900 PACIFIC AVE STE 501
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4189
Practice Address - Country:US
Practice Address - Phone:425-258-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60404848175F00000X
WAMW60402520176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No175F00000XOther Service ProvidersNaturopath