Provider Demographics
NPI:1518303015
Name:YORGAN, KAREN VICTORIA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:VICTORIA
Last Name:YORGAN
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33405 STATE ROUTE 2
Mailing Address - Street 2:
Mailing Address - City:SULTAN
Mailing Address - State:WA
Mailing Address - Zip Code:98294-8607
Mailing Address - Country:US
Mailing Address - Phone:360-863-3135
Mailing Address - Fax:360-863-3726
Practice Address - Street 1:33405 STATE ROUTE 2
Practice Address - Street 2:
Practice Address - City:SULTAN
Practice Address - State:WA
Practice Address - Zip Code:98294-8607
Practice Address - Country:US
Practice Address - Phone:360-863-3135
Practice Address - Fax:360-863-3726
Is Sole Proprietor?:No
Enumeration Date:2013-05-11
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60335481171100000X
WANT60315810175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist