MEDICARE: STACY MICHELLE OXENHANDLER N.D.

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 00001197	WA

General Provider Information

NPI Number	:	1861705584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY MICHELLE OXENHANDLER N.D.

Provider Business Mailing Address
First Line	:	2627 NW 57TH ST
Second Line	:	UNIT B
City	:	SEATTLE
State	:	WA
Zip	:	98107-3246
Country	:	US
Telephone Number	:	206-931-4231
Fax Number	:

Provider Business Practice Location Address
First Line	:	2627 NW 57TH ST
Second Line	:	UNIT B
City	:	SEATTLE
State	:	WA
Zip	:	98107-3246
Country	:	US
Telephone Number	:	206-931-4231
Fax Number	:

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

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	07/22/2010

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