Provider Demographics
NPI:1346805470
Name:TAKAHASHI, CHIKA (ND)
Entity Type:Individual
Prefix:
First Name:CHIKA
Middle Name:
Last Name:TAKAHASHI
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 1:2224 NW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4059
Mailing Address - Country:US
Mailing Address - Phone:206-491-7746
Mailing Address - Fax:
Practice Address - Street 1:2224 NW 56TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4059
Practice Address - Country:US
Practice Address - Phone:206-491-7746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60955207B171100000X
WANT60953874175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist