Provider Demographics
NPI:1164805248
Name:CLINICIAN LINK, LLC
Entity type:Organization
Organization Name:CLINICIAN LINK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGASPARIS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-925-3525
Mailing Address - Street 1:6034 SYCAMORE AVE NW STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2041
Mailing Address - Country:US
Mailing Address - Phone:206-925-3525
Mailing Address - Fax:206-925-3237
Practice Address - Street 1:155 NE 100TH ST
Practice Address - Street 2:402
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8012
Practice Address - Country:US
Practice Address - Phone:206-925-3525
Practice Address - Fax:206-925-3237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1282175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty