MEDICARE: DR. DAVID DEICHERT ND, ARNP

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	NT00001426	WA
2	363LF0000X	Family Nurse Practitioner	AP60178142	WA

General Provider Information

NPI Number	:	1982732368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID DEICHERT ND, ARNP

Provider Business Mailing Address
First Line	:	20624 SE 119TH ST
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-5402
Country	:	US
Telephone Number	:	206-795-5760
Fax Number	:

Provider Business Practice Location Address
First Line	:	12600 SE 38TH ST STE 130
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98006-6105
Country	:	US
Telephone Number	:	425-679-6056
Fax Number	:

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	01/11/2019

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