Healthcare Provider Details

I. General information

NPI: 1356779151
Provider Name (Legal Business Name): CASSANDRA HURD N.D., L.M., C.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 09/27/2021
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 CEDAR AVE
SNOHOMISH WA
98290-2955
US

IV. Provider business mailing address

119 CEDAR AVE
SNOHOMISH WA
98290-2955
US

V. Phone/Fax

Practice location:
  • Phone: 360-863-3223
  • Fax: 888-875-1198
Mailing address:
  • Phone: 360-863-3223
  • Fax: 888-875-1198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number60402527
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number60408970
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: