Provider Demographics
NPI:1417288986
Name:IONESCU, IULIAN MARIUS (ND)
Entity Type:Individual
Prefix:MR
First Name:IULIAN
Middle Name:MARIUS
Last Name:IONESCU
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10319 NE 186TH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3858
Mailing Address - Country:US
Mailing Address - Phone:607-745-8097
Mailing Address - Fax:
Practice Address - Street 1:401 OLYMPIA AVE NE
Practice Address - Street 2:SUITE 211 BOX# 60
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4117
Practice Address - Country:US
Practice Address - Phone:425-687-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-24
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60115759175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath