Provider Demographics
NPI:1659431591
Name:RIFE, JAMES ANDREW (ND MED)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:RIFE
Suffix:
Gender:M
Credentials:ND MED
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:719 N K STREET
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403
Mailing Address - Country:US
Mailing Address - Phone:253-503-8792
Mailing Address - Fax:253-503-8791
Practice Address - Street 1:1420 MERIDIAN E
Practice Address - Street 2:STE 2
Practice Address - City:MILTON
Practice Address - State:WA
Practice Address - Zip Code:98354
Practice Address - Country:US
Practice Address - Phone:253-503-8792
Practice Address - Fax:253-503-8791
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000966175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath