MEDICARE: GIG HARBOR NATUROPATHIC MEDICINE PS

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
1	175F00000X	Naturopath

General Provider Information

NPI Number	:	1447109475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIG HARBOR NATUROPATHIC MEDICINE PS

Provider Business Mailing Address
First Line	:	6659 KIMBALL DR STE C306
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-5121
Country	:	US
Telephone Number	:	253-851-7550
Fax Number	:	253-313-7033

Provider Business Practice Location Address
First Line	:	6659 KIMBALL DR STE C306
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-5121
Country	:	US
Telephone Number	:	253-851-7550
Fax Number	:	253-313-7033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LESLIE CHARLES
Credential	:	ND
Telephone Number	:	253-851-7550

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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