Provider Demographics
NPI:1194289553
Name:HUDSON INTEGRATIVE HEALTH, PLLC
Entity type:Organization
Organization Name:HUDSON INTEGRATIVE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:ND, DC
Authorized Official - Phone:360-926-0026
Mailing Address - Street 1:407 N PARKWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-9156
Mailing Address - Country:US
Mailing Address - Phone:360-926-0026
Mailing Address - Fax:360-450-5044
Practice Address - Street 1:407 N PARKWAY AVE
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-9156
Practice Address - Country:US
Practice Address - Phone:360-926-0026
Practice Address - Fax:360-450-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty