Healthcare Provider Details

I. General information

NPI: 1326330333
Provider Name (Legal Business Name): DR. CHRIS MANTEL MERLINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 NE 132ND ST STE 103
KIRKLAND WA
98034-2900
US

IV. Provider business mailing address

11911 NE 132ND ST STE 103
KIRKLAND WA
98034-2900
US

V. Phone/Fax

Practice location:
  • Phone: 206-960-4770
  • Fax: 866-998-1837
Mailing address:
  • Phone: 206-960-4770
  • Fax: 866-998-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60216937
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: