Healthcare Provider Details

I. General information

NPI: 1407263445
Provider Name (Legal Business Name): NATHANAEL ARMSTRONG N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NATHANAEL WILLIAMS N.D.

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5548 MYRTLE AVE STE 202
FREELAND WA
98249-8776
US

IV. Provider business mailing address

PO BOX 554
FREELAND WA
98249-0554
US

V. Phone/Fax

Practice location:
  • Phone: 360-331-2464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60483642
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: