Healthcare Provider Details

I. General information

NPI: 1518421791
Provider Name (Legal Business Name): MS. KAYLA NICOLE POUJADE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date: 06/04/2026
Reactivation Date: 07/17/2026

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNATU.NT.70118833
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: