Provider Demographics
NPI:1376987347
Name:SCHALES, BROOK LYNN (ND, LMP)
Entity Type:Individual
Prefix:DR
First Name:BROOK
Middle Name:LYNN
Last Name:SCHALES
Suffix:
Gender:F
Credentials:ND, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8839 QUINAULT LOOP NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-5912
Mailing Address - Country:US
Mailing Address - Phone:360-970-6537
Mailing Address - Fax:
Practice Address - Street 1:8839 QUINAULT LOOP NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5912
Practice Address - Country:US
Practice Address - Phone:360-970-6537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00019368174400000X
WANT60330844175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No174400000XOther Service ProvidersSpecialist