Provider Demographics
NPI:1568734200
Name:GOLDSMITH, TERESA AILEEN (ND)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:AILEEN
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9730 3RD AVE NE
Mailing Address - Street 2:SUITE #202
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2023
Mailing Address - Country:US
Mailing Address - Phone:206-525-5576
Mailing Address - Fax:206-525-5776
Practice Address - Street 1:9730 3RD AVE NE
Practice Address - Street 2:SUITE #202
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2023
Practice Address - Country:US
Practice Address - Phone:206-525-5576
Practice Address - Fax:206-525-5776
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60252705175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath