Provider Demographics
NPI:1285798587
Name:JONES, SUSAN ELIZABETH (ND)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:JONES
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 1:636 SW 152ND STREET
Mailing Address - Street 2:STE D
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166
Mailing Address - Country:US
Mailing Address - Phone:206-838-7704
Mailing Address - Fax:
Practice Address - Street 1:636 SW 152ND ST
Practice Address - Street 2:STE D
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2264
Practice Address - Country:US
Practice Address - Phone:206-838-7704
Practice Address - Fax:206-838-5511
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT0001098175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath