Provider Demographics
NPI:1629495080
Name:NARROWS NATURAL HEALTH CLINIC, LLC
Entity Type:Organization
Organization Name:NARROWS NATURAL HEALTH CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER/ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-853-7853
Mailing Address - Street 1:2703 JAHN AVE NW
Mailing Address - Street 2:STE C5
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7977
Mailing Address - Country:US
Mailing Address - Phone:253-853-7853
Mailing Address - Fax:
Practice Address - Street 1:2703 JAHN AVE NW
Practice Address - Street 2:STE C5
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7977
Practice Address - Country:US
Practice Address - Phone:253-853-7853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001715111N00000X
WANT00000438175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty