Provider Demographics
NPI:1639455199
Name:LOWE CARLSON, JEAN (ND)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:
Last Name:LOWE CARLSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:HARRIETT
Other - Middle Name:JEAN
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:16455 NE 85TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3673
Mailing Address - Country:US
Mailing Address - Phone:541-390-4467
Mailing Address - Fax:425-406-6901
Practice Address - Street 1:16455 NE 85TH ST STE 103
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3673
Practice Address - Country:US
Practice Address - Phone:541-390-4467
Practice Address - Fax:425-406-6901
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60249545175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath