Provider Demographics
NPI:1992803142
Name:YARNELL, ERIC L (ND)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:L
Last Name:YARNELL
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17311 135TH AVE NE STE C800
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4349
Mailing Address - Country:US
Mailing Address - Phone:425-402-9999
Mailing Address - Fax:425-402-8390
Practice Address - Street 1:17311 135TH AVE NE STE C800
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4349
Practice Address - Country:US
Practice Address - Phone:425-402-9999
Practice Address - Fax:425-402-8390
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000809175F00000X
CAND1304175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2035040Medicaid