Provider Demographics
NPI:1881099638
Name:FOX, PATRICK (ND)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:FOX
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 1:3317 E UNION ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3371
Mailing Address - Country:US
Mailing Address - Phone:206-717-5017
Mailing Address - Fax:888-909-2755
Practice Address - Street 1:3317 E UNION ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3371
Practice Address - Country:US
Practice Address - Phone:206-717-5017
Practice Address - Fax:888-909-2755
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60511423175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath