Provider Demographics
NPI:1801834486
Name:TRINITY FAMILY HEALTH CLINIC
Entity Type:Organization
Organization Name:TRINITY FAMILY HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-778-5673
Mailing Address - Street 1:19031 33RD AVE W
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4731
Mailing Address - Country:US
Mailing Address - Phone:425-778-5673
Mailing Address - Fax:425-774-2421
Practice Address - Street 1:19031 33RD AVE W
Practice Address - Street 2:SUITE 301
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4731
Practice Address - Country:US
Practice Address - Phone:425-778-5673
Practice Address - Fax:425-774-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty