Healthcare Provider Details

I. General information

NPI: 1639250251
Provider Name (Legal Business Name): SUE ZEE EDMISON ND LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12317 15TH NE S 103
SEATTLE WA
98125
US

IV. Provider business mailing address

PO BOX 77038
SEATTLE WA
98177
US

V. Phone/Fax

Practice location:
  • Phone: 206-957-2015
  • Fax: 206-957-2016
Mailing address:
  • Phone: 206-957-2015
  • Fax: 206-957-2016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000467
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW00000105
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: