Healthcare Provider Details

I. General information

NPI: 1679220321
Provider Name (Legal Business Name): MARTHA LEE HOLSCHEN FNTP, RWS3
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20314 45TH DR SE
BOTHELL WA
98012-7326
US

IV. Provider business mailing address

20314 45TH DR SE
BOTHELL WA
98012-7326
US

V. Phone/Fax

Practice location:
  • Phone: 425-890-5268
  • Fax:
Mailing address:
  • Phone: 425-890-5268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: