Healthcare Provider Details

I. General information

NPI: 1023151529
Provider Name (Legal Business Name): JOANNA T FORWELL ND,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 WESTLAKE AVE N SUITE 201
SEATTLE WA
98109-2755
US

IV. Provider business mailing address

1836 WESTLAKE AVE N SUITE 201
SEATTLE WA
98109-2755
US

V. Phone/Fax

Practice location:
  • Phone: 206-729-6100
  • Fax: 206-352-9198
Mailing address:
  • Phone: 206-729-6100
  • Fax: 206-352-9198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT675
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: