Healthcare Provider Details

I. General information

NPI: 1548677511
Provider Name (Legal Business Name): MCQUINN NATUROPATHIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 HOYT AVE STE 201
EVERETT WA
98201
US

IV. Provider business mailing address

2808 HOYT AVE STE 201
EVERETT WA
98201
US

V. Phone/Fax

Practice location:
  • Phone: 425-293-0107
  • Fax: 425-293-0329
Mailing address:
  • Phone: 425-293-0107
  • Fax: 425-293-0329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: BETH MCQUINN
Title or Position: OWNER
Credential:
Phone: 425-293-0107