Provider Demographics
NPI:1558887059
Name:SUMMERLAND, RHONDA HUME (ND)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:HUME
Last Name:SUMMERLAND
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:GAYLE HUME
Other - Last Name:SUMMERLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:INDEX
Mailing Address - State:WA
Mailing Address - Zip Code:98256-0115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21624 SERTZ RD
Practice Address - Street 2:
Practice Address - City:INDEX
Practice Address - State:WA
Practice Address - Zip Code:98256-9701
Practice Address - Country:US
Practice Address - Phone:360-793-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000412175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath