Healthcare Provider Details

I. General information

NPI: 1467139311
Provider Name (Legal Business Name): HEATHER M YOUNG HOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/03/2023
Certification Date: 07/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SEAVIEW AVE NW STE 160-785
SEATTLE WA
98117-6006
US

IV. Provider business mailing address

7001 SEAVIEW AVE NW STE 160-785
SEATTLE WA
98117-6006
US

V. Phone/Fax

Practice location:
  • Phone: 139-400-9554
  • Fax:
Mailing address:
  • Phone: 139-400-9554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: