Provider Demographics
NPI:1679220321
Name:HOLSCHEN, MARTHA LEE (FNTP, RWS3)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:LEE
Last Name:HOLSCHEN
Suffix:
Gender:F
Credentials:FNTP, RWS3
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20314 45TH DR SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-7326
Mailing Address - Country:US
Mailing Address - Phone:425-890-5268
Mailing Address - Fax:
Practice Address - Street 1:20314 45TH DR SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-7326
Practice Address - Country:US
Practice Address - Phone:425-890-5268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator