Provider Demographics
NPI:1033679303
Name:WOODINVILLE NATURAL HEALTH LLC
Entity Type:Organization
Organization Name:WOODINVILLE NATURAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-569-8637
Mailing Address - Street 1:15610 NE WOODINVILLE DUVALL RD STE 108
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-7069
Mailing Address - Country:US
Mailing Address - Phone:425-489-5900
Mailing Address - Fax:425-489-5920
Practice Address - Street 1:15610 NE WOODINVILLE DUVALL RD STE 108
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-7069
Practice Address - Country:US
Practice Address - Phone:425-489-5900
Practice Address - Fax:425-489-5920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty