MEDICARE: DR. ADEOLA MARY MEAD 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	ND-530	CA
2	175F00000X	Naturopath	60059893	WA

General Provider Information

NPI Number	:	1871856187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADEOLA MARY MEAD N.D.

Provider Business Mailing Address
First Line	:	5914 8TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-2809
Country	:	US
Telephone Number	:	510-778-5207
Fax Number	:	844-595-7585

Provider Business Practice Location Address
First Line	:	8012 15TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-3601
Country	:	US
Telephone Number	:	206-707-9366
Fax Number	:	844-595-7585

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

Provider Enumeration Date	:	06/21/2012
Last Update Date	:	10/10/2019

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