Healthcare Provider Details

I. General information

NPI: 1255458261
Provider Name (Legal Business Name): SHORLINE NATUROPATHIC FAMILY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13346 1ST AVE NE
SEATTLE WA
98125-3036
US

IV. Provider business mailing address

13346 1ST AVE NE
SEATTLE WA
98125-3036
US

V. Phone/Fax

Practice location:
  • Phone: 206-236-1260
  • Fax: 206-361-2605
Mailing address:
  • Phone: 206-236-1260
  • Fax: 206-361-2605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00000601
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000956
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00018320
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateWA

VIII. Authorized Official

Name: MS. GINA M CHAPMAN
Title or Position: MEDICAL ASSISTANT
Credential:
Phone: 206-361-2602