SKY RIVER NATUROPATHIC CENTER LLC NPI 1174901169

NPI Information

NPI: 1174901169
Provider Name: SKY RIVER NATUROPATHIC CENTER LLC

Doing Business As: SKY RIVER NATURAL HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
33405 STATE ROUTE 2
SULTAN, WA
ZIP 98294
Phone: (360) 793-0206
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SKY RIVER NATUROPATHIC CENTER LLC is a primary care clinic center in Sultan, WA. SKY RIVER NATUROPATHIC CENTER LLC NPI is 1174901169. The provider is registered as an organization entity type.
The provider Is Doing Business As Sky River Natural Health Center.

The provider's business location address is:

33405 STATE ROUTE 2
SULTAN, WA
ZIP 98294-607
Phone: (360) 793-0206

The provider's authorized official is Brandy Lipscomb .
The authorized official title is Medical Director and has the following contact phone number (360) 793-0206.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	NT60505327	WASHINGTON	No
2	261QP2300X	Clinic/Center	Primary Care	NT 00001534	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2032281	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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