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NPI Code Detail

MEDICARE: INTEGRAL ELEMENT LLC

MEDICARE: INTEGRAL ELEMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopathNT60063068WA

General Provider Information

NPI Number : 1073746921
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRAL ELEMENT LLC
Provider Business Mailing Address
First Line : 2840 SW RAYMOND ST
Second Line : #204
City : SEATTLE
State : WA
Zip : 98126-2992
Country : US
Telephone Number : 425-770-4606
Fax Number :
Provider Business Practice Location Address
First Line : 328 W MAIN ST
Second Line :
City : MONROE
State : WA
Zip : 98272-1812
Country : US
Telephone Number : 360-794-4500
Fax Number : 360-863-1640
Authorized Official
Title or Position : PHYSICIAN/MANAGER
Name : DR. DANIEL NELSON HURNE
Credential : N.D.
Telephone Number : 425-770-4606
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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Directions to “INTEGRAL ELEMENT LLC ” Practice Location

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