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EASTSIDE NATURAL MEDICINE NPI 1588074009


NPI Information

NPI: 1588074009
Provider Name: EASTSIDE NATURAL MEDICINE
Classification: Naturopath - 175F00000X
Entity Type: Organization

CLIA Number: 50D2266607

Address:
18208 66TH AVE NE STE 201
KENMORE, WA
ZIP 98028
Phone: (425) 814-2045
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EASTSIDE NATURAL MEDICINE is a naturopath in Kenmore, WA. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. EASTSIDE NATURAL MEDICINE NPI is 1588074009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18208 66TH AVE NE STE 201
KENMORE, WA
ZIP 98028-949
Phone: (425) 814-2045
Fax: (425) 814-2783

The provider's authorized official is Brianna Allain Piche .
The authorized official title is Member, Co-owner and has the following contact phone number (425) 814-2045.

The CLIA number assigned to this NPI record is 50D2266607 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2014 and was last updated on 12/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1176B00000XMidwifeNT60023991WASHINGTONNo
2175F00000XNaturopathNT60048617WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528211281MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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