Healthcare Provider Details

I. General information

NPI: 1558686295
Provider Name (Legal Business Name): CHRISTINA GUTIERREZ ND LM INC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3876 BRIDGE WAY N SUITE 300
SEATTLE WA
98103-7951
US

IV. Provider business mailing address

3876 BRIDGE WAY N SUITE 300
SEATTLE WA
98103-7951
US

V. Phone/Fax

Practice location:
  • Phone: 206-624-6627
  • Fax: 206-525-5933
Mailing address:
  • Phone: 206-624-6627
  • Fax: 206-525-5933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA ELIZABETH GUTIERREZ
Title or Position: OWNER
Credential: ND LM
Phone: 206-624-6627