Healthcare Provider Details

I. General information

NPI: 1578210209
Provider Name (Legal Business Name): SARAH ELIZABETH BEDFORD ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 03/02/2022
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 QUEEN ANNE AVE N STE 104
SEATTLE WA
98109-2833
US

IV. Provider business mailing address

1629 QUEEN ANNE AVE N STE 104
SEATTLE WA
98109-2833
US

V. Phone/Fax

Practice location:
  • Phone: 206-659-0690
  • Fax:
Mailing address:
  • Phone: 206-659-0690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT61173027
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: