=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962356931
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARK SUTHERLAND ND
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2026
-----------------------------------------------------
Last Update Date | 02/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7137 OLD EASTON RD
-----------------------------------------------------
City | PIPERSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18947-9708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-910-4813
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4343 SOUTHVIEW LN
-----------------------------------------------------
City | DOYLESTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18902-1534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-910-4813
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number | ND000016
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------