Provider Demographics
NPI:1811172034
Name:NATUROPATHIC CLINIC PS INC
Entity type:Organization
Organization Name:NATUROPATHIC CLINIC PS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JENEFER
Authorized Official - Middle Name:SCRIPPS
Authorized Official - Last Name:HUNTOON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-632-8804
Mailing Address - Street 1:1329 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:206-632-8804
Mailing Address - Fax:
Practice Address - Street 1:1329 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103
Practice Address - Country:US
Practice Address - Phone:206-632-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000370175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty