Provider Demographics
NPI:1013457779
Name:MCDONALD, WILLIAM (ND)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:MCDONALD
Suffix:
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 1:5227 BALLARD AVE NW
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-730-7050
Practice Address - Street 1:5227 BALLARD AVE NW
Practice Address - Street 2:SUITE 5
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4847
Practice Address - Country:US
Practice Address - Phone:206-359-0094
Practice Address - Fax:866-730-7050
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60216753175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath