Provider Demographics
NPI:1932443553
Name:WINCHELL, MICHELLE ANN (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANN
Last Name:WINCHELL
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:800 FRANKLIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3355
Mailing Address - Country:US
Mailing Address - Phone:360-828-1429
Mailing Address - Fax:360-719-5746
Practice Address - Street 1:800 FRANKLIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3355
Practice Address - Country:US
Practice Address - Phone:360-828-1429
Practice Address - Fax:360-719-5746
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60688011175F00000X
WAAC 60688366171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist