Provider Demographics
NPI:1841332061
Name:KOZURA, CHRISTOPHER JON (ND, LMP)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:KOZURA
Suffix:
Gender:M
Credentials:ND, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 9TH AVE NE STE 357
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-8515
Mailing Address - Country:US
Mailing Address - Phone:206-957-5995
Mailing Address - Fax:206-957-1267
Practice Address - Street 1:6300 9TH AVE NE STE 357
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8515
Practice Address - Country:US
Practice Address - Phone:206-957-5995
Practice Address - Fax:206-957-1267
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1151175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath