Provider Demographics
NPI:1336832211
Name:OAK TREE INTEGRATIVE MEDICINE, PLLC
Entity Type:Organization
Organization Name:OAK TREE INTEGRATIVE MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:DAHLGREN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-302-9322
Mailing Address - Street 1:4930 239TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8649
Mailing Address - Country:US
Mailing Address - Phone:206-302-9322
Mailing Address - Fax:
Practice Address - Street 1:18106 140TH AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4312
Practice Address - Country:US
Practice Address - Phone:425-402-4401
Practice Address - Fax:877-524-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty