Provider Demographics
NPI:1518080563
Name:WALING, RONALD GERARD (ND)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:GERARD
Last Name:WALING
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15127 NE 24TH ST STE 314
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5544
Mailing Address - Country:US
Mailing Address - Phone:425-255-2226
Mailing Address - Fax:425-823-9592
Practice Address - Street 1:19390 BYERS RD SE
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-8943
Practice Address - Country:US
Practice Address - Phone:425-255-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000425175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath