Provider Demographics
NPI:1194337097
Name:HAREL, MARY MICHEL (ND)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MICHEL
Last Name:HAREL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:MICHEL
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6327 22ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6919
Mailing Address - Country:US
Mailing Address - Phone:206-363-5555
Mailing Address - Fax:
Practice Address - Street 1:6327 22ND AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6919
Practice Address - Country:US
Practice Address - Phone:206-363-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4343175F00000X
UT13661096-7100175F00000X
WAMA60690399225700000X
WANT61099952175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist