Healthcare Provider Details

I. General information

NPI: 1578271920
Provider Name (Legal Business Name): NATHANIEL TRINKA ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 SUNRISE AVE
ENUMCLAW WA
98022-8219
US

IV. Provider business mailing address

1536 SUNRISE AVE
ENUMCLAW WA
98022-8219
US

V. Phone/Fax

Practice location:
  • Phone: 623-692-8771
  • Fax:
Mailing address:
  • Phone: 623-692-8771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number221751
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number61460444
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: