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NPI Code Detail

MEDICARE: EMERALD CENTER FOR INTEGRATIVE MEDICINE LLC

MEDICARE: EMERALD CENTER FOR INTEGRATIVE MEDICINE 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
1103TC0700XClinical Psychologist
2261QP2300XPrimary Care Clinic/Center
3175F00000XNaturopath

General Provider Information

NPI Number : 1801050786
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERALD CENTER FOR INTEGRATIVE MEDICINE LLC
Provider Business Mailing Address
First Line : PO BOX 78193
Second Line :
City : SEATTLE
State : WA
Zip : 98178-0193
Country : US
Telephone Number : 206-772-5315
Fax Number : 206-774-8751
Provider Business Practice Location Address
First Line : 9730 3RD AVE NE
Second Line : SUITE 202
City : SEATTLE
State : WA
Zip : 98115-2023
Country : US
Telephone Number : 206-525-5576
Fax Number : 206-525-5776
Authorized Official
Title or Position : OWNER / PHYSICIAN
Name : MOIRA P FITZPATRICK
Credential : PHD, ND
Telephone Number : 206-525-5576
Provider Enumeration Date : 07/10/2008
Last Update Date : 04/29/2009

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Directions to “EMERALD CENTER FOR INTEGRATIVE MEDICINE LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.