Provider Demographics
NPI:1760088959
Name:ISSAQUAH HOLISTIC HEALTH PLLC
Entity Type:Organization
Organization Name:ISSAQUAH HOLISTIC HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-859-1378
Mailing Address - Street 1:15215 SE 272ND ST STE 105
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-9918
Mailing Address - Country:US
Mailing Address - Phone:425-395-7542
Mailing Address - Fax:425-657-0934
Practice Address - Street 1:15215 SE 272ND ST STE 105
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-9918
Practice Address - Country:US
Practice Address - Phone:425-395-7542
Practice Address - Fax:425-657-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty