MEDICARE: EASTER S HO ND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	NT60707166	WA

General Provider Information

NPI Number	:	1780055988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EASTER S HO ND

Provider Business Mailing Address
First Line	:	510A RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2039
Country	:	US
Telephone Number	:	425-208-1698
Fax Number	:	206-686-1268

Provider Business Practice Location Address
First Line	:	510A RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2039
Country	:	US
Telephone Number	:	425-208-1698
Fax Number	:	206-686-1268

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	10/08/2018

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Directions to “ EASTER S HO ND” Practice Location

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