Healthcare Provider Details

I. General information

NPI: 1518101658
Provider Name (Legal Business Name): CHRISTINA LYNN YOUNGREN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2009
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 SACRAMENTO ST SUTIE 2
SAN FRANCISCO CA
94115-2225
US

IV. Provider business mailing address

100 2ND AVE #2
SAN FRANCISCO CA
94118-1496
US

V. Phone/Fax

Practice location:
  • Phone: 415-742-2655
  • Fax:
Mailing address:
  • Phone: 415-722-6305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: