Healthcare Provider Details

I. General information

NPI: 1144493636
Provider Name (Legal Business Name): INTEGRATED HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15655 NE 85TH ST STE. 2
REDMOND WA
98052-3563
US

IV. Provider business mailing address

15655 NE 85TH ST STE. 2
REDMOND WA
98052-3563
US

V. Phone/Fax

Practice location:
  • Phone: 425-881-3100
  • Fax: 425-881-3102
Mailing address:
  • Phone: 425-881-3100
  • Fax: 425-881-3102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00039675
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60036164
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60096656
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCH00003657
License Number StateWA

VIII. Authorized Official

Name: DR. DAVID WILLIAM BURNS
Title or Position: CLINIC DIRECTOR
Credential: DC
Phone: 425-881-3100