Healthcare Provider Details

I. General information

NPI: 1043966799
Provider Name (Legal Business Name): HOLISTIC APPROACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 BEARDSLEE BLVD UNIT 1665
BOTHELL WA
98041-0300
US

IV. Provider business mailing address

10500 BEARDSLEE BLVD UNIT 1665
BOTHELL WA
98041-0300
US

V. Phone/Fax

Practice location:
  • Phone: 425-209-0202
  • Fax: 425-818-4879
Mailing address:
  • Phone: 425-209-0202
  • Fax: 425-818-4879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierMD60240047
Identifier TypeOTHER
Identifier StateWA
Identifier IssuerWA STATE LICENSE

VIII. Authorized Official

Name: DR. SID H SIAHPUSH
Title or Position: OWNER
Credential: MD
Phone: 425-209-0202