Healthcare Provider Details

I. General information

NPI: 1790621126
Provider Name (Legal Business Name): HAVEN INTEGRATIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5470 SHILSHOLE AVE NW STE 405
SEATTLE WA
98107-4040
US

IV. Provider business mailing address

5470 SHILSHOLE AVE NW STE 405
SEATTLE WA
98107-4040
US

V. Phone/Fax

Practice location:
  • Phone: 206-705-9508
  • Fax: 206-337-0208
Mailing address:
  • Phone: 206-705-9508
  • Fax: 206-337-0208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAYNE DUBOIS
Title or Position: EXECUTIVE DIRECTOR
Credential: ND
Phone: 206-705-9508