Provider Demographics
NPI:1861705584
Name:OXENHANDLER, STACY MICHELLE (ND)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:MICHELLE
Last Name:OXENHANDLER
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 1:2627 NW 57TH ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3246
Mailing Address - Country:US
Mailing Address - Phone:206-931-4231
Mailing Address - Fax:
Practice Address - Street 1:2627 NW 57TH ST
Practice Address - Street 2:UNIT B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3246
Practice Address - Country:US
Practice Address - Phone:206-931-4231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 00001197175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath