Provider Demographics
NPI:1285095000
Name:ZAMORA, JULIA MELINDA (ND)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:MELINDA
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15640 NE FOURTH PLAIN BLVD STE 120A
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5141
Mailing Address - Country:US
Mailing Address - Phone:360-719-2603
Mailing Address - Fax:
Practice Address - Street 1:15640 NE FOURTH PLAIN BLVD STE 120A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682
Practice Address - Country:US
Practice Address - Phone:360-719-2603
Practice Address - Fax:360-397-0447
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-08
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3075175F00000X
WA60666857175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath