Healthcare Provider Details
I. General information
NPI: 1275614000
Provider Name (Legal Business Name): BRUCE ALAN KLEIN ND LMP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13606 NE 20TH ST STE 200
BELLEVUE WA
98005-2011
US
IV. Provider business mailing address
17440 NE 38TH ST A203
REDMOND WA
98052
US
V. Phone/Fax
- Phone: 425-462-0040
- Fax:
- Phone: 425-462-0040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MA00006772 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | NT00000954 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: