Provider Demographics
NPI:1437332665
Name:MYERS, DEBORAH L (ND, LMP)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:L
Last Name:MYERS
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:PO BOX 6904
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-0904
Mailing Address - Country:US
Mailing Address - Phone:206-853-3067
Mailing Address - Fax:425-505-2579
Practice Address - Street 1:15650 NE 24TH ST STE A
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2460
Practice Address - Country:US
Practice Address - Phone:206-853-3067
Practice Address - Fax:425-505-2579
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001323175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath