Provider Demographics
NPI:1538492996
Name:NORTHWEST NATUROPATHY AND ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:NORTHWEST NATUROPATHY AND ACUPUNCTURE, PLLC
Other - Org Name:MELISSA MINOFF, N.D., L.AC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MINOFF
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:206-524-0863
Mailing Address - Street 1:6300 9TH AVE NE STE 310
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8516
Mailing Address - Country:US
Mailing Address - Phone:206-524-0863
Mailing Address - Fax:206-524-1019
Practice Address - Street 1:6300 9TH AVE NE STE 310
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8516
Practice Address - Country:US
Practice Address - Phone:206-524-0863
Practice Address - Fax:206-524-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001062261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty