Provider Demographics
NPI:1710100268
Name:AYU NATURAL MEDICINE CLINIC
Entity Type:Organization
Organization Name:AYU NATURAL MEDICINE CLINIC
Other - Org Name:KERALA AYURVEDA ACADEMY & CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PSALM
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-729-9999
Mailing Address - Street 1:819 NE 65TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5539
Mailing Address - Country:US
Mailing Address - Phone:206-729-9999
Mailing Address - Fax:206-729-0164
Practice Address - Street 1:819 NE 65TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5539
Practice Address - Country:US
Practice Address - Phone:206-729-9999
Practice Address - Fax:206-729-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty