Provider Demographics
NPI:1467874412
Name:VITALIS NATUROPATHIC CENTRE LLC
Entity Type:Organization
Organization Name:VITALIS NATUROPATHIC CENTRE LLC
Other - Org Name:CELESTE SAENZ
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-850-7026
Mailing Address - Street 1:PO BOX 78193
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-0193
Mailing Address - Country:US
Mailing Address - Phone:206-850-7026
Mailing Address - Fax:206-774-8751
Practice Address - Street 1:5020 MERIDIAN AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6131
Practice Address - Country:US
Practice Address - Phone:206-850-7026
Practice Address - Fax:206-774-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty