Provider Demographics
NPI:1144599564
Name:JANGAARD, HANS CULHANE (ND)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:CULHANE
Last Name:JANGAARD
Suffix:
Gender:M
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:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-0130
Mailing Address - Country:US
Mailing Address - Phone:360-320-0404
Mailing Address - Fax:
Practice Address - Street 1:1657 LAYTON RD
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-9456
Practice Address - Country:US
Practice Address - Phone:360-331-6470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60257523175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath