=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780055988
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EASTER S HO ND
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2015
-----------------------------------------------------
Last Update Date | 10/08/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 510A RAINIER AVE S
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98144-2039
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-208-1698
-----------------------------------------------------
Fax | 206-686-1268
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 510A RAINIER AVE S
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98144-2039
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-208-1698
-----------------------------------------------------
Fax | 206-686-1268
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | NT60707166
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------