Provider Demographics
NPI:1114492451
Name:BILL, ALISSA CAMILLA (ND)
Entity Type:Individual
Prefix:DR
First Name:ALISSA
Middle Name:CAMILLA
Last Name:BILL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:ALYSSA
Other - Middle Name:CAMILLA
Other - Last Name:BILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:13012 NE 94TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5947
Mailing Address - Country:US
Mailing Address - Phone:425-802-8225
Mailing Address - Fax:
Practice Address - Street 1:10512 NE 68TH ST STE C102
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7002
Practice Address - Country:US
Practice Address - Phone:425-802-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath