RADIANT NATUROPATHIC PLLC NPI 1639517220

NPI Information

NPI: 1639517220
Provider Name: RADIANT NATUROPATHIC PLLC

Doing Business As: RADIANT NATUROPATHIC WELLNESS CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
16455 NE 85TH ST
SUITE 103
REDMOND, WA
ZIP 98052
Phone: (425) 405-4546
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RADIANT NATUROPATHIC PLLC is a primary care clinic center in Redmond, WA. RADIANT NATUROPATHIC PLLC NPI is 1639517220. The provider is registered as an organization entity type.
The provider Is Doing Business As Radiant Naturopathic Wellness Clinic.

The provider's business location address is:

16455 NE 85TH ST
SUITE 103
REDMOND, WA
ZIP 98052-673
Phone: (425) 405-4546
Fax: (425) 406-6901

The provider's authorized official is Matthew Hunter Carlson .
The authorized official title is Owner and has the following contact phone number (425) 405-4546.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 6/5/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	NT60249605	WASHINGTON	Yes

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: 5/5/2024

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