Provider Demographics
NPI:1619547221
Name:NASER, LIQAA ESSAM (ND, MBCHB, CABP, CCT)
Entity Type:Individual
Prefix:DR
First Name:LIQAA
Middle Name:ESSAM
Last Name:NASER
Suffix:
Gender:F
Credentials:ND, MBCHB, CABP, CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 51ST ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7588
Mailing Address - Country:US
Mailing Address - Phone:425-545-4747
Mailing Address - Fax:
Practice Address - Street 1:2223 112TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2952
Practice Address - Country:US
Practice Address - Phone:425-905-0910
Practice Address - Fax:866-559-2516
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61196283175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath