Provider Demographics
NPI:1760544019
Name:GOOD HEALTH NATURALLY PLLC
Entity Type:Organization
Organization Name:GOOD HEALTH NATURALLY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BLESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-693-7781
Mailing Address - Street 1:3606 MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2257
Mailing Address - Country:US
Mailing Address - Phone:360-693-7781
Mailing Address - Fax:360-693-1688
Practice Address - Street 1:3606 MAIN ST
Practice Address - Street 2:STE 205
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2257
Practice Address - Country:US
Practice Address - Phone:360-693-7781
Practice Address - Fax:360-693-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty