Provider Demographics
NPI:1073284626
Name:RHODES, JULIE ANNE (ND, MS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:RHODES
Suffix:
Gender:F
Credentials:ND, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FRANKLIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3356
Mailing Address - Country:US
Mailing Address - Phone:360-828-1429
Mailing Address - Fax:360-925-3181
Practice Address - Street 1:800 FRANKLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3356
Practice Address - Country:US
Practice Address - Phone:360-828-1429
Practice Address - Fax:360-925-3181
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4409175F00000X
WANT61350164175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANT61350164OtherWASHINGTON LICENSE