Healthcare Provider Details

I. General information

NPI: 1598041824
Provider Name (Legal Business Name): KRISTINA MARIE OLSON-KUYPER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 14TH AVE NW STE 1
SEATTLE WA
98107-3723
US

IV. Provider business mailing address

5600 14TH AVE NW STE 1
SEATTLE WA
98107-3723
US

V. Phone/Fax

Practice location:
  • Phone: 206-919-0175
  • Fax: 202-567-9797
Mailing address:
  • Phone: 206-919-0175
  • Fax: 206-567-9797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60648675
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: