Healthcare Provider Details

I. General information

NPI: 1710194782
Provider Name (Legal Business Name): WENDY ALISA FURUMORI ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY ALISA SCHLOSS ND

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 44TH AVE SW STE 101
SEATTLE WA
98116-4467
US

IV. Provider business mailing address

10802 32ND AVE SW
SEATTLE WA
98146-1708
US

V. Phone/Fax

Practice location:
  • Phone: 206-763-2733
  • Fax: 206-763-2122
Mailing address:
  • Phone: 425-205-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001564
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: