MEDICARE: GRACEFUL MIND INSTITUTE NP PS

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

General Provider Information

NPI Number	:	1912865304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACEFUL MIND INSTITUTE NP PS

Provider Business Mailing Address
First Line	:	201 W NORTH BEND WAY STE 200
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8169
Country	:	US
Telephone Number	:	425-502-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W NORTH BEND WAY STE 200
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8169
Country	:	US
Telephone Number	:	425-502-5457
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. ERIN WESTAWAY
Credential	:	ND
Telephone Number	:	425-502-5457

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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