Healthcare Provider Details

I. General information

NPI: 1841332061
Provider Name (Legal Business Name): CHRISTOPHER JON KOZURA N.D., L.M.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 9TH AVE NE STE 357
SEATTLE WA
98115-8515
US

IV. Provider business mailing address

6300 9TH AVE NE STE 357
SEATTLE WA
98115-8515
US

V. Phone/Fax

Practice location:
  • Phone: 206-957-5995
  • Fax: 206-957-1267
Mailing address:
  • Phone: 206-957-5995
  • Fax: 206-957-1267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1151
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: