Healthcare Provider Details

I. General information

NPI: 1588074009
Provider Name (Legal Business Name): EASTSIDE NATURAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6610 NE 181ST ST STE 2
KENMORE WA
98028-4867
US

IV. Provider business mailing address

6610 NE 181ST ST STE 2
KENMORE WA
98028-4867
US

V. Phone/Fax

Practice location:
  • Phone: 425-814-2045
  • Fax: 425-814-2783
Mailing address:
  • Phone: 425-814-2045
  • Fax: 425-814-2783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60048617
License Number StateWA

VIII. Authorized Official

Name: DR. BRIANNA ALLAIN PICHE
Title or Position: CO-OWNER
Credential:
Phone: 425-814-2045