Provider Demographics
NPI:1437451093
Name:HETHERINGTON, JAMES ISAAC (ND, RN)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ISAAC
Last Name:HETHERINGTON
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Gender:M
Credentials:ND, RN
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Mailing Address - Street 1:2150 NORTH 107TH STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133
Mailing Address - Country:US
Mailing Address - Phone:206-629-2186
Mailing Address - Fax:206-420-8393
Practice Address - Street 1:2150 NORTH 107TH STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-629-2186
Practice Address - Fax:206-420-8393
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2011-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WARN00161756163W00000X
WANT60183537175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No163W00000XNursing Service ProvidersRegistered Nurse