Provider Demographics
NPI:1265598353
Name:AASAN, CANDACE (ND)
Entity type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:
Last Name:AASAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 NE 151ST ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-4831
Mailing Address - Country:US
Mailing Address - Phone:425-269-7822
Mailing Address - Fax:
Practice Address - Street 1:1715 MARKET ST
Practice Address - Street 2:SUITE 103
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4968
Practice Address - Country:US
Practice Address - Phone:425-576-8017
Practice Address - Fax:425-576-8024
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 1174175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath