Provider Demographics
NPI:1821550971
Name:DETORRES, ALISHA N (ND)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:N
Last Name:DETORRES
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 1:621 EAST FRONT STREET
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362
Mailing Address - Country:US
Mailing Address - Phone:360-952-7310
Mailing Address - Fax:206-299-0777
Practice Address - Street 1:621 EAST FRONT STREET
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362
Practice Address - Country:US
Practice Address - Phone:360-952-7310
Practice Address - Fax:206-299-0777
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath