Provider Demographics
NPI:1760963409
Name:EILTS, CHELSEA (ND, DSOM)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:EILTS
Suffix:
Gender:F
Credentials:ND, DSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39401 NW MAPLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98674-3125
Mailing Address - Country:US
Mailing Address - Phone:360-607-4527
Mailing Address - Fax:
Practice Address - Street 1:4001 MAIN ST STE 306
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-1888
Practice Address - Country:US
Practice Address - Phone:360-382-3410
Practice Address - Fax:360-382-3413
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2022-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60880504171100000X
WANT60903159175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist