Healthcare Provider Details
I. General information
NPI: 1447321914
Provider Name (Legal Business Name): FRANCIS ARDEN PINAULT ND, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 03/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
646 NW RICHMOND BEACH RD
SHORELINE WA
98177
UM
IV. Provider business mailing address
PO BOX 1418
EDMONDS WA
98020-1418
US
V. Phone/Fax
- Phone: 206-542-8687
- Fax: 206-542-8336
- Phone: 206-542-8687
- Fax: 206-542-8336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC00000420 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | NT952 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: