Provider Demographics
NPI:1992174312
Name:HANAN, NATALIE (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:HANAN
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 E EVERGREEN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4927
Mailing Address - Country:US
Mailing Address - Phone:360-558-3990
Mailing Address - Fax:360-544-6588
Practice Address - Street 1:3128 E EVERGREEN BLVD STE A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-4927
Practice Address - Country:US
Practice Address - Phone:360-558-3990
Practice Address - Fax:360-544-6588
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60603307171100000X
OR3049175F00000X
WANT60624606175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist