Healthcare Provider Details

I. General information

NPI: 1659985489
Provider Name (Legal Business Name): VICTORIA ERIN LOFDAHL ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7621 AURORA AVE N
SEATTLE WA
98103-4749
US

IV. Provider business mailing address

27301 14TH CT S
DES MOINES WA
98198-9442
US

V. Phone/Fax

Practice location:
  • Phone: 206-588-1061
  • Fax: 206-297-6118
Mailing address:
  • Phone: 253-709-8243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: