Provider Demographics
NPI:1710106364
Name:HOLISTIC FAMILY PRACTICE, INC
Entity Type:Organization
Organization Name:HOLISTIC FAMILY PRACTICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-697-7070
Mailing Address - Street 1:1703 NW RUDE RD
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9784
Mailing Address - Country:US
Mailing Address - Phone:360-697-7070
Mailing Address - Fax:
Practice Address - Street 1:1703 NW RUDE RD
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9784
Practice Address - Country:US
Practice Address - Phone:360-697-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA685175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty