Provider Demographics
NPI:1750470670
Name:TREVORROW, MARIANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:
Last Name:TREVORROW
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 1:15520 MILL CREEK BLVD
Mailing Address - Street 2:APT. C103
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1734
Mailing Address - Country:US
Mailing Address - Phone:425-609-8436
Mailing Address - Fax:
Practice Address - Street 1:8009 S 180TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-1042
Practice Address - Country:US
Practice Address - Phone:425-282-0406
Practice Address - Fax:425-282-0404
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1511175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath