Provider Demographics
NPI:1710194782
Name:FURUMORI, WENDY ALISA (ND)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ALISA
Last Name:FURUMORI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:ALISA
Other - Last Name:SCHLOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:10802 32ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-1708
Mailing Address - Country:US
Mailing Address - Phone:425-205-3540
Mailing Address - Fax:
Practice Address - Street 1:4727 44TH AVE SW STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4467
Practice Address - Country:US
Practice Address - Phone:206-763-2733
Practice Address - Fax:206-763-2122
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001564175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath