Provider Demographics
NPI:1255942447
Name:ROBERTSON, ROBERT PAYTON (ND)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAYTON
Last Name:ROBERTSON
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:PAYTON
Other - Middle Name:
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:7741 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4003
Mailing Address - Country:US
Mailing Address - Phone:406-262-3620
Mailing Address - Fax:
Practice Address - Street 1:3513 NE 45TH ST STE 2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5665
Practice Address - Country:US
Practice Address - Phone:206-535-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath