Healthcare Provider Details

I. General information

NPI: 1831997014
Provider Name (Legal Business Name): NORTHWEST NATURAL FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/26/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 BROADWAY STE A
EVERETT WA
98201-1719
US

IV. Provider business mailing address

1415 BROADWAY STE A
EVERETT WA
98201-1719
US

V. Phone/Fax

Practice location:
  • Phone: 831-277-1225
  • Fax: 425-800-0271
Mailing address:
  • Phone: 831-277-1225
  • Fax: 425-800-0271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY ELIZABETH FITZPATRICK
Title or Position: NATUROPATHIC DOCTOR/OWNER
Credential: ND
Phone: 831-277-1225