Provider Demographics
NPI:1194002543
Name:BELIY, MARY (ND)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:
Last Name:BELIY
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 1:3005 ALDERWOOD MALL PARKWAY #100
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036
Mailing Address - Country:US
Mailing Address - Phone:425-771-4000
Mailing Address - Fax:425-771-2425
Practice Address - Street 1:3005 ALDERWOOD MALL PARKWAY #100
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036
Practice Address - Country:US
Practice Address - Phone:425-771-4000
Practice Address - Fax:425-771-2425
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60252698175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath