Provider Demographics
NPI:1497803910
Name:ELLIOTT, PATRICIA LYNNE (ND)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LYNNE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 N STATE ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5037
Mailing Address - Country:US
Mailing Address - Phone:360-647-0228
Mailing Address - Fax:360-671-5218
Practice Address - Street 1:1155 N STATE ST
Practice Address - Street 2:SUITE 610
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5037
Practice Address - Country:US
Practice Address - Phone:360-647-0228
Practice Address - Fax:360-671-5218
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025205NT00000687175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath