Provider Demographics
NPI:1194392068
Name:SB MEDICAL PS
Entity Type:Organization
Organization Name:SB MEDICAL PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIDDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOW
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-293-0107
Mailing Address - Street 1:4310 COLBY AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2338
Mailing Address - Country:US
Mailing Address - Phone:425-293-0107
Mailing Address - Fax:425-293-0329
Practice Address - Street 1:4310 COLBY AVE STE 202
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2338
Practice Address - Country:US
Practice Address - Phone:425-293-0107
Practice Address - Fax:425-293-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty