Healthcare Provider Details

I. General information

NPI: 1053075184
Provider Name (Legal Business Name): ANCIENT HEALING ARTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 EVANSTON AVE N STE 428
SEATTLE WA
98103-8970
US

IV. Provider business mailing address

5004 HUBBARD HILL RD
OAK HARBOR WA
98277-9613
US

V. Phone/Fax

Practice location:
  • Phone: 425-318-9561
  • Fax: 877-393-1378
Mailing address:
  • Phone: 206-384-0496
  • Fax: 206-299-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN E STEWART
Title or Position: CEO
Credential: LAC
Phone: 425-381-9561