Provider Demographics
NPI:1316373350
Name:DYMOND HEALTHCARE
Entity Type:Organization
Organization Name:DYMOND HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSY
Authorized Official - Middle Name:
Authorized Official - Last Name:DYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:253-642-6808
Mailing Address - Street 1:8012 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3601
Mailing Address - Country:US
Mailing Address - Phone:253-642-6808
Mailing Address - Fax:206-466-5458
Practice Address - Street 1:8012 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-3601
Practice Address - Country:US
Practice Address - Phone:253-642-6808
Practice Address - Fax:206-466-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60328786175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty