Provider Demographics
NPI:1760539951
Name:DEGASPARIS, LESLIE A (ND)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:A
Last Name:DEGASPARIS
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 1:155 NE 100TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8012
Mailing Address - Country:US
Mailing Address - Phone:206-925-3525
Mailing Address - Fax:206-925-3237
Practice Address - Street 1:155 NE 100TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8012
Practice Address - Country:US
Practice Address - Phone:206-925-3525
Practice Address - Fax:206-925-3237
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1282175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath