Provider Demographics
NPI:1629378997
Name:SEATTLE HOLISTIC CENTER
Entity Type:Organization
Organization Name:SEATTLE HOLISTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:206-525-9035
Mailing Address - Street 1:4649 SUNNYSIDE AVE N
Mailing Address - Street 2:STE#302
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4649 SUNNYSIDE AVE N
Practice Address - Street 2:STE#302
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6900
Practice Address - Country:US
Practice Address - Phone:206-525-9035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00092091163WP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatalGroup - Multi-Specialty