Basic Information
| Provider Information | |||||||||
| NPI: | 1629103767 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NATURAL HEALTHCARE NORTHWEST INC PS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 509 OLIVE WAY | ||||||||
| Address2: | SUITE 1315 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063829977 | ||||||||
| FaxNumber: | 2063829933 | ||||||||
| Practice Location | |||||||||
| Address1: | 509 OLIVE WAY | ||||||||
| Address2: | SUITE 1315 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063829977 | ||||||||
| FaxNumber: | 2063829933 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BUXTON | ||||||||
| AuthorizedOfficialFirstName: | CYNTHIA | ||||||||
| AuthorizedOfficialMiddleName: | P | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2063829977 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | ND, LAC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | AC00002175 | WA | X | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Acupuncturist | 175F00000X | NT00000913 | WA | X | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Naturopath |
No ID Information.