Healthcare Provider Details

I. General information

NPI: 1134134513
Provider Name (Legal Business Name): MARY EILEEN STRETCH ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E JEFFERSON ST SUITE 603
SEATTLE WA
98122-5698
US

IV. Provider business mailing address

1600 E JEFFERSON ST SUITE 603
SEATTLE WA
98122-5698
US

V. Phone/Fax

Practice location:
  • Phone: 206-726-0034
  • Fax: 206-726-9434
Mailing address:
  • Phone: 206-726-0034
  • Fax: 206-726-9434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000693
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: