Provider Demographics
NPI:1417598541
Name:ESSENTIAL NATURAL MEDICINE
Entity type:Organization
Organization Name:ESSENTIAL NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-838-7704
Mailing Address - Street 1:652 SW 150TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-4612
Mailing Address - Country:US
Mailing Address - Phone:206-838-7704
Mailing Address - Fax:206-838-5511
Practice Address - Street 1:652 SW 150TH ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-4612
Practice Address - Country:US
Practice Address - Phone:206-838-7704
Practice Address - Fax:206-838-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty