Provider Demographics
NPI:1700967403
Name:SHARIF, SHARUM (ND)
Entity Type:Individual
Prefix:
First Name:SHARUM
Middle Name:
Last Name:SHARIF
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6632 S 191ST PL
Mailing Address - Street 2:SUITE E-110
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2117
Mailing Address - Country:US
Mailing Address - Phone:425-656-0700
Mailing Address - Fax:425-656-0705
Practice Address - Street 1:6632 S 191ST PL
Practice Address - Street 2:#E110
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2117
Practice Address - Country:US
Practice Address - Phone:425-656-0700
Practice Address - Fax:425-656-0705
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001275175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath