Healthcare Provider Details

I. General information

NPI: 1376663492
Provider Name (Legal Business Name): DAWN LAMB N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4916 NE ST JOHNS RD
VANCOUVER WA
98661-2547
US

IV. Provider business mailing address

4916 NE ST JOHNS RD
VANCOUVER WA
98661-2547
US

V. Phone/Fax

Practice location:
  • Phone: 360-605-2085
  • Fax:
Mailing address:
  • Phone: 360-605-2085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: