Provider Demographics
NPI:1629371869
Name:SADLON, ANGELA (ND)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SADLON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6839 FORT DENT WAY
Mailing Address - Street 2:SUITE 134
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2502
Mailing Address - Country:US
Mailing Address - Phone:206-812-9988
Mailing Address - Fax:206-812-9989
Practice Address - Street 1:6839 FORT DENT WAY
Practice Address - Street 2:SUITE 134
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2502
Practice Address - Country:US
Practice Address - Phone:206-812-9988
Practice Address - Fax:206-812-9989
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60122315175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath