Provider Demographics
NPI:1356779151
Name:HURD, CASSANDRA (ND, LM, CPM)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:HURD
Suffix:
Gender:F
Credentials:ND, LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2955
Mailing Address - Country:US
Mailing Address - Phone:360-863-3223
Mailing Address - Fax:888-875-1198
Practice Address - Street 1:119 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2955
Practice Address - Country:US
Practice Address - Phone:360-863-3223
Practice Address - Fax:888-875-1198
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60402527176B00000X
WA60408970175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No176B00000XOther Service ProvidersMidwife