Provider Demographics
NPI:1568510253
Name:SUTTON, JULIE (ND, LAC,)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:SUTTON
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 1:2319 1ST AVE APT 508
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3605
Mailing Address - Country:US
Mailing Address - Phone:425-503-6684
Mailing Address - Fax:206-326-1196
Practice Address - Street 1:2319 1ST AVE APT 508
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3605
Practice Address - Country:US
Practice Address - Phone:425-503-6684
Practice Address - Fax:206-326-1196
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2614171100000X
WA1278175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist