Provider Demographics
NPI:1720207368
Name:PEARSON, JANE B (ND)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:B
Last Name:PEARSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:690-697-7070
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:690-697-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA685175F00000X, 175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered175F00000XOther Service ProvidersNaturopath
Not Answered175L00000XOther Service ProvidersHomeopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA685OtherND LISCENSE