Provider Demographics
NPI:1275976490
Name:BOWER, MELINDA ANN (ND)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:ANN
Last Name:BOWER
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:PO BOX 27488
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98165-2488
Mailing Address - Country:US
Mailing Address - Phone:206-370-2616
Mailing Address - Fax:206-417-3223
Practice Address - Street 1:3216 NE 45TH PL STE 104
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4028
Practice Address - Country:US
Practice Address - Phone:206-588-1227
Practice Address - Fax:206-588-1387
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60308371175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath