Provider Demographics
NPI:1174012942
Name:CARE INTEGRATIVE LLC
Entity Type:Organization
Organization Name:CARE INTEGRATIVE LLC
Other - Org Name:CARE INTEGRATIVE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PURITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNTAPHANT
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-494-5994
Mailing Address - Street 1:2340 130TH AVE NE # D200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1700
Mailing Address - Country:US
Mailing Address - Phone:425-494-5994
Mailing Address - Fax:
Practice Address - Street 1:2340 130TH AVE NE # D200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1700
Practice Address - Country:US
Practice Address - Phone:425-448-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty