MEDICARE: DR. JADE STEFANO 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	NT 60721043	WA

General Provider Information

NPI Number	:	1689119760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JADE STEFANO ND

Provider Business Mailing Address
First Line	:	5306 BALLARD AVE NW STE 322
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4366
Country	:	US
Telephone Number	:	206-578-3494
Fax Number	:	206-339-1590

Provider Business Practice Location Address
First Line	:	5306 BALLARD AVE NW STE 322
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4366
Country	:	US
Telephone Number	:	206-578-3494
Fax Number	:	206-339-1590

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

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	11/26/2025

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