Provider Demographics
NPI:1043689862
Name:EGAN, ALLISON (ND)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:EGAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 25TH AVE W APT 424
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2212
Mailing Address - Country:US
Mailing Address - Phone:541-979-9662
Mailing Address - Fax:
Practice Address - Street 1:2016 NE 65TH ST STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6958
Practice Address - Country:US
Practice Address - Phone:206-729-6211
Practice Address - Fax:844-236-1534
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-22
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath