Healthcare Provider Details

I. General information

NPI: 1407070113
Provider Name (Legal Business Name): DAWN FLYNN ND, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 3RD AVE STE 917
SEATTLE WA
98101-1191
US

IV. Provider business mailing address

1904 3RD AVE STE 917
SEATTLE WA
98101-1191
US

V. Phone/Fax

Practice location:
  • Phone: 206-330-8490
  • Fax: 206-903-0397
Mailing address:
  • Phone: 206-330-8490
  • Fax: 206-903-0397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00002747
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1400
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: