Provider Demographics
NPI:1396121901
Name:MARIN NATUROPATHIC MEDICINE
Entity type:Organization
Organization Name:MARIN NATUROPATHIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MEEHAN
Authorized Official - Last Name:SCHAFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:415-460-1968
Mailing Address - Street 1:2144 4TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-2668
Mailing Address - Country:US
Mailing Address - Phone:415-460-1968
Mailing Address - Fax:415-785-7964
Practice Address - Street 1:2144 4TH ST STE B
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-2668
Practice Address - Country:US
Practice Address - Phone:415-460-1968
Practice Address - Fax:415-785-7964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND723261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care