Healthcare Provider Details

I. General information

NPI: 1669465498
Provider Name (Legal Business Name): CINDY M. BREED ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26401 PACIFIC HWY S STE 101
DES MOINES WA
98198-9247
US

IV. Provider business mailing address

955 POWELL AVE SW STE 300
RENTON WA
98057-2908
US

V. Phone/Fax

Practice location:
  • Phone: 206-870-3590
  • Fax:
Mailing address:
  • Phone: 425-277-1311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000686
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: