Provider Demographics
NPI:1093955791
Name:RICHTER, TERESA E (ND)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:E
Last Name:RICHTER
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 1:634 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5665
Mailing Address - Country:US
Mailing Address - Phone:425-448-3232
Mailing Address - Fax:425-448-1322
Practice Address - Street 1:634 7TH AVE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033
Practice Address - Country:US
Practice Address - Phone:425-822-2858
Practice Address - Fax:425-822-5611
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023467172V00000X
WANT60259020175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No172V00000XOther Service ProvidersCommunity Health Worker