Provider Demographics
NPI:1639710536
Name:WILHELM, TASMIN JOY (ND)
Entity Type:Individual
Prefix:DR
First Name:TASMIN
Middle Name:JOY
Last Name:WILHELM
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:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ACME
Mailing Address - State:WA
Mailing Address - Zip Code:98220-0191
Mailing Address - Country:US
Mailing Address - Phone:360-318-5596
Mailing Address - Fax:360-738-4955
Practice Address - Street 1:1313 E MAPLE ST STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5755
Practice Address - Country:US
Practice Address - Phone:360-738-3230
Practice Address - Fax:360-738-4955
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61007988175F00000X
AZ19-1840175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath