Provider Demographics
NPI:1386818912
Name:NEW HORIZONS NATURAL HEALTH LLC
Entity type:Organization
Organization Name:NEW HORIZONS NATURAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEFOREST
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-465-9550
Mailing Address - Street 1:1530 140TH AVE NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-4574
Mailing Address - Country:US
Mailing Address - Phone:206-465-9550
Mailing Address - Fax:
Practice Address - Street 1:1530 140TH AVE NE
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-4574
Practice Address - Country:US
Practice Address - Phone:206-465-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001646261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care