Healthcare Provider Details

I. General information

NPI: 1053234286
Provider Name (Legal Business Name): JULIA DANNENBAUM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6327 22ND AVE NE
SEATTLE WA
98115-6919
US

IV. Provider business mailing address

4513 GREENWOOD AVE N APT 2
SEATTLE WA
98103-2302
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: