Healthcare Provider Details

I. General information

NPI: 1659736007
Provider Name (Legal Business Name): TRESSA PINKLETON ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 E MADISON ST
SEATTLE WA
98112-4738
US

IV. Provider business mailing address

2705 E MADISON ST
SEATTLE WA
98112-4738
US

V. Phone/Fax

Practice location:
  • Phone: 206-328-7929
  • Fax: 206-328-6066
Mailing address:
  • Phone: 206-328-7929
  • Fax: 206-328-6066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60613168
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: