Healthcare Provider Details

I. General information

NPI: 1588788681
Provider Name (Legal Business Name): KATHRYN ELISE DARCHANGEL ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9481 BAYSHORE DR NW SUITE 101
SILVERDALE WA
98383
US

IV. Provider business mailing address

26139 OHIO AVE NE
KINGSTON WA
98346-9699
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-7424
  • Fax:
Mailing address:
  • Phone: 360-981-1694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1045
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12089
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: