Healthcare Provider Details

I. General information

NPI: 1215941224
Provider Name (Legal Business Name): BRANDY C ROSS N.D., L.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDY ROSS-BELL ND, LM

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20126 BALLINGER WAY NE # 141
SHORELINE WA
98155-1117
US

IV. Provider business mailing address

20126 BALLINGER WAY NE # 141
SHORELINE WA
98155-1117
US

V. Phone/Fax

Practice location:
  • Phone: 425-670-6752
  • Fax: 888-691-3151
Mailing address:
  • Phone: 425-670-6752
  • Fax: 888-691-3151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW00000299
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT1397
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: