Provider Demographics
NPI:1205266533
Name:BORYS, CHAD (ND)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:BORYS
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 1:508 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:833-590-2766
Practice Address - Street 1:1313 E MAPLE ST STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5755
Practice Address - Country:US
Practice Address - Phone:360-738-3230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1036175F00000X
WANT60422120175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath