Provider Demographics
NPI:1396021887
Name:KING, NATALIE SUSAN (EAMP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:SUSAN
Last Name:KING
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 50TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1018
Mailing Address - Country:US
Mailing Address - Phone:206-349-7605
Mailing Address - Fax:
Practice Address - Street 1:19655 1ST AVE S
Practice Address - Street 2:202
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-2166
Practice Address - Country:US
Practice Address - Phone:206-349-7605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60253593171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist