Healthcare Provider Details

I. General information

NPI: 1538292644
Provider Name (Legal Business Name): DONNA KACHINSKAS N.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 116TH AVE NE SUITE 104
BELLEVUE WA
98004-3034
US

IV. Provider business mailing address

11927 342ND AVE NE
CARNATION WA
98014-7110
US

V. Phone/Fax

Practice location:
  • Phone: 425-454-0787
  • Fax: 424-454-7827
Mailing address:
  • Phone: 425-844-9768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001441
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: