Provider Demographics
NPI:1275328064
Name:SOTO, SAMANTHA MARIA (ND)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MARIA
Last Name:SOTO
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 FREMONT AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7225
Mailing Address - Country:US
Mailing Address - Phone:206-683-4495
Mailing Address - Fax:888-519-9390
Practice Address - Street 1:4411 FREMONT AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7225
Practice Address - Country:US
Practice Address - Phone:206-683-4495
Practice Address - Fax:888-519-9390
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath