Healthcare Provider Details

I. General information

NPI: 1073394508
Provider Name (Legal Business Name): MEGHAN WILLETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 LEARY AVE NW STE 202
SEATTLE WA
98107-4070
US

IV. Provider business mailing address

4138 SW WEBSTER ST
SEATTLE WA
98136-2131
US

V. Phone/Fax

Practice location:
  • Phone: 206-297-6013
  • Fax: 206-582-3472
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: