Provider Demographics
NPI:1780208975
Name:WILEN, ADRIENNE RACHELLE (ND)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:RACHELLE
Last Name:WILEN
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 1:36529 NE NORTH FORK AVE
Mailing Address - Street 2:
Mailing Address - City:LA CENTER
Mailing Address - State:WA
Mailing Address - Zip Code:98629-3917
Mailing Address - Country:US
Mailing Address - Phone:360-953-3457
Mailing Address - Fax:
Practice Address - Street 1:36529 NE NORTH FORK AVE
Practice Address - Street 2:
Practice Address - City:LA CENTER
Practice Address - State:WA
Practice Address - Zip Code:98629-3917
Practice Address - Country:US
Practice Address - Phone:360-953-3457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath