Provider Demographics
NPI:1326340589
Name:HARTZ, CARA BRYNNE (ND)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:BRYNNE
Last Name:HARTZ
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 1:915 N 79TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4713
Mailing Address - Country:US
Mailing Address - Phone:206-420-7480
Mailing Address - Fax:
Practice Address - Street 1:6800 E GREEN LAKE WAY N
Practice Address - Street 2:SUITE 250
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5489
Practice Address - Country:US
Practice Address - Phone:206-706-0306
Practice Address - Fax:206-706-4772
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-21
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60196928175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath