Provider Demographics
NPI:1205281284
Name:DON, JEAN-ROBERTO (ND)
Entity type:Individual
Prefix:DR
First Name:JEAN-ROBERTO
Middle Name:
Last Name:DON
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 1:31919 1ST AVE S STE 105
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5258
Mailing Address - Country:US
Mailing Address - Phone:206-717-5644
Mailing Address - Fax:
Practice Address - Street 1:31919 1ST AVE S STE 105
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5258
Practice Address - Country:US
Practice Address - Phone:206-717-5644
Practice Address - Fax:833-563-2486
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61057197175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath