Healthcare Provider Details

I. General information

NPI: 1447471263
Provider Name (Legal Business Name): AMY ELIZABETH CLEWELL N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18913 VASHON HIGHWAY SW
VASHON WA
98070
US

IV. Provider business mailing address

1623 ASPEN DR
RIDGWAY CO
81432-9575
US

V. Phone/Fax

Practice location:
  • Phone: 206-412-4884
  • Fax: 206-463-4791
Mailing address:
  • Phone: 206-463-1673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001389
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: