Provider Demographics
NPI:1578342309
Name:POIRIER, NAOMI LOUISE
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:LOUISE
Last Name:POIRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11804 100TH AVE NE APT 2
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6531
Mailing Address - Country:US
Mailing Address - Phone:517-242-0731
Mailing Address - Fax:
Practice Address - Street 1:11804 100TH AVE NE APT 2
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6531
Practice Address - Country:US
Practice Address - Phone:517-242-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath