Provider Demographics
NPI:1013065242
Name:NEARY, DEAN E JR (ND)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:E
Last Name:NEARY
Suffix:JR
Gender:M
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:PO BOX 944
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-0944
Mailing Address - Country:US
Mailing Address - Phone:360-863-3135
Mailing Address - Fax:360-863-3726
Practice Address - Street 1:33405 STATE ROUTE 2
Practice Address - Street 2:
Practice Address - City:SULTAN
Practice Address - State:WA
Practice Address - Zip Code:98294-8607
Practice Address - Country:US
Practice Address - Phone:360-863-3135
Practice Address - Fax:360-863-3726
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000783175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5842NEOtherREGENCE RIDER