Provider Demographics
NPI:1356763494
Name:BULLINGTON, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BULLINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 EVANSTON AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 FREMONT AVE N
Practice Address - Street 2:SUITE 412
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-2709
Practice Address - Country:US
Practice Address - Phone:206-659-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60436859171100000X
WANT60434716175F00000X
WAMA60172195225700000X
IA03471225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist