Provider Demographics
NPI:1992050561
Name:SNOHOMISH NATUROPATHIC CLINIC
Entity type:Organization
Organization Name:SNOHOMISH NATUROPATHIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NATUROPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVINS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-568-2686
Mailing Address - Street 1:1101 AVENUE D STE D103
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2083
Mailing Address - Country:US
Mailing Address - Phone:360-568-2686
Mailing Address - Fax:360-862-8016
Practice Address - Street 1:1101 AVENUE D STE D103
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2083
Practice Address - Country:US
Practice Address - Phone:360-568-2686
Practice Address - Fax:360-862-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60114039171100000X
WAAC60043303171100000X
WAMA00005225174400000X
WANT00001021175F00000X
WANT00001596175F00000X
WANT00001616175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty