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ROOT OF MEDICINE PLLC NPI 1861860090


NPI Information

NPI: 1861860090
Provider Name: ROOT OF MEDICINE, PLLC

Doing Business As: REBEL MED NORTHWEST

Classification: Naturopath - 175F00000X
Entity Type: Organization
Address:
5401 LEARY AVE NW STE 202
SEATTLE, WA
ZIP 98107
Phone: (206) 206-2976
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ROOT OF MEDICINE, PLLC is a naturopath in Seattle, 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. ROOT OF MEDICINE, PLLC NPI is 1861860090. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rebel Med Northwest.

The provider's business location address is:

5401 LEARY AVE NW STE 202
SEATTLE, WA
ZIP 98107-070
Phone: (206) 206-2976
Fax: (206) 582-3472

The provider's authorized official is Andrew J. Simon .
The authorized official title is Owner and has the following contact phone number (206) 206-2976.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 12/1/2021.


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
1175F00000XNaturopathNT60412804WASHINGTONYes

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
12035017MEDICAIDWASHINGTON
22096495MEDICAIDWASHINGTON

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: 11/14/2023

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