Provider Demographics
NPI:1689388316
Name:LAKE STEVENS NATURAL MEDICINE 1
Entity Type:Organization
Organization Name:LAKE STEVENS NATURAL MEDICINE 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTENT
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-291-6005
Mailing Address - Street 1:9327 4TH ST NE STE 9
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-1630
Mailing Address - Country:US
Mailing Address - Phone:360-291-6005
Mailing Address - Fax:
Practice Address - Street 1:9327 4TH ST NE STE 9
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-1630
Practice Address - Country:US
Practice Address - Phone:360-291-6005
Practice Address - Fax:360-291-5955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2143706Medicaid