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NPI Code Detail

MEDICARE: DR. BLAKE DENNIS ND

MEDICARE: DR. BLAKE DENNIS 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
1175F00000XNaturopathNT60911568WA

General Provider Information

NPI Number : 1982252391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BLAKE DENNIS ND
Provider Business Mailing Address
First Line : 2528 NE 107TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98125-6708
Country : US
Telephone Number : 206-427-2797
Fax Number : 206-455-7872
Provider Business Practice Location Address
First Line : 1100 NW 50TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5119
Country : US
Telephone Number : 206-899-8978
Fax Number : 206-455-7872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 08/28/2019

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Directions to “ DR. BLAKE DENNIS ND” Practice Location

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