Provider Demographics
NPI:1972834810
Name:SEATTLE NATURE CURE CLINIC
Entity Type:Organization
Organization Name:SEATTLE NATURE CURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MASAHIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKAKURA
Authorized Official - Suffix:
Authorized Official - Credentials:ND, CD, LAC
Authorized Official - Phone:206-588-1061
Mailing Address - Street 1:1421 NW 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117
Mailing Address - Country:US
Mailing Address - Phone:206-588-1061
Mailing Address - Fax:206-297-6118
Practice Address - Street 1:6752 ALONZO ST NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117
Practice Address - Country:US
Practice Address - Phone:206-588-1061
Practice Address - Fax:206-297-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH34639111N00000X
WAAC2275171100000X
WANT1222175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty