Provider Demographics
NPI:1730465824
Name:TROWBRIDGE, MELANIE SUZANNE (ND, EAMP)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:SUZANNE
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:ND, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10630 NE 145TH PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-4823
Mailing Address - Country:US
Mailing Address - Phone:425-647-4249
Mailing Address - Fax:
Practice Address - Street 1:18404 102ND AVE NE
Practice Address - Street 2:SUITE B
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3213
Practice Address - Country:US
Practice Address - Phone:425-647-4249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60241507171100000X
WANT 60252707175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist