Healthcare Provider Details

I. General information

NPI: 1528308954
Provider Name (Legal Business Name): CARRIE MCMILLIN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2013
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE STE E50
KIRKLAND WA
98034-3046
US

IV. Provider business mailing address

21825 PINTO LN
LEAVENWORTH WA
98826-9759
US

V. Phone/Fax

Practice location:
  • Phone: 206-705-3012
  • Fax: 800-239-9017
Mailing address:
  • Phone:
  • Fax: 800-239-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60326127
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: