Healthcare Provider Details

I. General information

NPI: 1013172451
Provider Name (Legal Business Name): TERESA MARIE EVANS ND, ARNP-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 QUARTZ DR SW
NORTH BEND WA
98045-9133
US

IV. Provider business mailing address

984 QUARTZ DR SW
NORTH BEND WA
98045-9133
US

V. Phone/Fax

Practice location:
  • Phone: 206-372-6191
  • Fax: 206-374-2591
Mailing address:
  • Phone: 206-372-6191
  • Fax: 206-374-2591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT 60020664
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW60071418
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: