Healthcare Provider Details

I. General information

NPI: 1942529219
Provider Name (Legal Business Name): KARI L. NEAL N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 09/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W WELLESLEY AVE
SPOKANE WA
99205
US

IV. Provider business mailing address

2422 PINEBROOK CIR
MEDFORD OR
97504-5523
US

V. Phone/Fax

Practice location:
  • Phone: 509-483-0025
  • Fax:
Mailing address:
  • Phone: 541-864-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4146
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNT 60136224
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: