MEDICARE: DR. JULIANNA MARGUERITE GILES ND

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	NT61011063	WA

General Provider Information

NPI Number	:	1518500560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANNA MARGUERITE GILES ND

Provider Business Mailing Address
First Line	:	10717 19TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98146-2039
Country	:	US
Telephone Number	:	715-563-2621
Fax Number	:

Provider Business Practice Location Address
First Line	:	10717 19TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98146-2039
Country	:	US
Telephone Number	:	715-563-2621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2019
Last Update Date	:	11/10/2020

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