MEDICARE: MARIA LOUISE PUTNEY MPH, 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	NT00001483	WA

General Provider Information

NPI Number	:	1750437190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA LOUISE PUTNEY MPH, ND

Provider Business Mailing Address
First Line	:	1313 E MAPLE ST STE 102
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5708
Country	:	US
Telephone Number	:	360-325-8976
Fax Number	:	360-738-4955

Provider Business Practice Location Address
First Line	:	1313 E MAPLE ST STE 102
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5708
Country	:	US
Telephone Number	:	360-325-8976
Fax Number	:	360-738-4955

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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