Healthcare Provider Details

I. General information

NPI: 1508294919
Provider Name (Legal Business Name): JENNIFER S READ N.D., EAMP.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2013
Last Update Date: 07/21/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CEDAR AVE APT 101
SNOHOMISH WA
98290-2959
US

IV. Provider business mailing address

110 CEDAR AVE SUITE 101
SNOHOMISH WA
98290-2900
US

V. Phone/Fax

Practice location:
  • Phone: 360-282-4014
  • Fax: 877-289-6697
Mailing address:
  • Phone: 425-298-5366
  • Fax: 877-289-6697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60434439
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60424461
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: