Provider Demographics
NPI:1508294919
Name:READ, JENNIFER S (ND, EAMP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:S
Last Name:READ
Suffix:
Gender:F
Credentials:ND, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CEDAR AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2900
Mailing Address - Country:US
Mailing Address - Phone:425-298-5366
Mailing Address - Fax:877-289-6697
Practice Address - Street 1:110 CEDAR AVE APT 101
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2959
Practice Address - Country:US
Practice Address - Phone:360-282-4014
Practice Address - Fax:877-289-6697
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60434439171100000X
WANT60424461175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2036951Medicaid