Provider Demographics
NPI:1619054889
Name:SHARIF, MICHELLE RENEE (ND)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RENEE
Last Name:SHARIF
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:RENEE
Other - Last Name:COLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23631 SE 245TH ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-5207
Mailing Address - Country:US
Mailing Address - Phone:425-432-9444
Mailing Address - Fax:425-432-9444
Practice Address - Street 1:6632 S 191ST PL
Practice Address - Street 2:SUITE E110
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2117
Practice Address - Country:US
Practice Address - Phone:425-656-0700
Practice Address - Fax:425-656-0705
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001172175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath