Provider Demographics
NPI:1659511871
Name:DRAKE, KATHERINE BREGLER (ND)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BREGLER
Last Name:DRAKE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:BREGLER
Other - Last Name:ALLSHOUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:337 2ND AVE S
Mailing Address - Street 2:#201
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6659
Mailing Address - Country:US
Mailing Address - Phone:425-213-6636
Mailing Address - Fax:
Practice Address - Street 1:30 LAKE SHORE PLZ
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6175
Practice Address - Country:US
Practice Address - Phone:425-833-4325
Practice Address - Fax:425-284-2499
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60051158175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath