Provider Demographics
NPI:1982881694
Name:SEATTLE NATURAL HEALTH, LLC
Entity Type:Organization
Organization Name:SEATTLE NATURAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATH, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GIBBS
Authorized Official - Last Name:RAMALEY
Authorized Official - Suffix:
Authorized Official - Credentials:ND, DC
Authorized Official - Phone:206-306-7797
Mailing Address - Street 1:12345 ROOSEVELT WAY NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4865
Mailing Address - Country:US
Mailing Address - Phone:206-306-7797
Mailing Address - Fax:206-306-0037
Practice Address - Street 1:12345 ROOSEVELT WAY NE
Practice Address - Street 2:SUITE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4865
Practice Address - Country:US
Practice Address - Phone:206-306-7797
Practice Address - Fax:206-306-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH2871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU61043Medicare UPIN