MEDICARE: DR. CRISTOPHER E BOSTED 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 1147	WA

General Provider Information

NPI Number	:	1861616617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRISTOPHER E BOSTED ND

Provider Business Mailing Address
First Line	:	906 N 91ST ST # A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3910
Country	:	US
Telephone Number	:	206-550-8516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1904 3RD AVE
Second Line	:	SUITE 423
City	:	SEATTLE
State	:	WA
Zip	:	98101-1126
Country	:	US
Telephone Number	:	206-282-2486
Fax Number	:	206-282-2512

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	10/24/2008

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