Provider Demographics
NPI:1093227654
Name:CHAIJINDA, JINDA (ND)
Entity Type:Individual
Prefix:DR
First Name:JINDA
Middle Name:
Last Name:CHAIJINDA
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 1:13353 NE BEL RED RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2329
Mailing Address - Country:US
Mailing Address - Phone:425-679-5997
Mailing Address - Fax:425-501-6140
Practice Address - Street 1:13353 NE BEL RED RD STE 105
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2329
Practice Address - Country:US
Practice Address - Phone:425-679-5997
Practice Address - Fax:425-501-6140
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60938411175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath