Healthcare Provider Details

I. General information

NPI: 1326340589
Provider Name (Legal Business Name): CARA BRYNNE HARTZ ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2010
Last Update Date: 11/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 E GREEN LAKE WAY N SUITE 250
SEATTLE WA
98115-5489
US

IV. Provider business mailing address

915 N 79TH ST
SEATTLE WA
98103-4713
US

V. Phone/Fax

Practice location:
  • Phone: 206-706-0306
  • Fax: 206-706-4772
Mailing address:
  • Phone: 206-420-7480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60196928
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: