Healthcare Provider Details

I. General information

NPI: 1336782416
Provider Name (Legal Business Name): RAINY CITY NATURAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 EASTLAKE AVE E
SEATTLE WA
98102-3707
US

IV. Provider business mailing address

1500 EASTLAKE AVE E
SEATTLE WA
98102-3707
US

V. Phone/Fax

Practice location:
  • Phone: 206-861-8300
  • Fax: 206-861-8305
Mailing address:
  • Phone: 206-861-8300
  • Fax: 206-861-8305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA ALELI ALVARADO
Title or Position: OWNER, PHYSICIAN
Credential: ND
Phone: 206-861-8300