Provider Demographics
NPI:1699078089
Name:CROWL, CHERYLN MARIE (ND)
Entity type:Individual
Prefix:
First Name:CHERYLN
Middle Name:MARIE
Last Name:CROWL
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 1:9431 17TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2710
Mailing Address - Country:US
Mailing Address - Phone:206-745-0330
Mailing Address - Fax:
Practice Address - Street 1:9431 17TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2710
Practice Address - Country:US
Practice Address - Phone:206-745-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60190823175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath