Provider Demographics
NPI:1467941922
Name:NORTHWEST NATUROPATHIC
Entity Type:Organization
Organization Name:NORTHWEST NATUROPATHIC
Other - Org Name:WEST SEATTLE NATUROPATHIC MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-434-3009
Mailing Address - Street 1:3256 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3305
Mailing Address - Country:US
Mailing Address - Phone:206-938-1393
Mailing Address - Fax:
Practice Address - Street 1:3256 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3305
Practice Address - Country:US
Practice Address - Phone:206-938-1393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHWEST NATUROPATHIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty