NATURAL HEALTH CTR OF MED LAKE PS NPI 1326126897

NPI Information

NPI: 1326126897
Provider Name: NATURAL HEALTH CTR OF MED LAKE PS

Former Legal Business Name: CHRISTOPHER WELLWOOD DC PS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
731 N STANLEY ST
MEDICAL LAKE, WA
ZIP 99022
Phone: (509) 299-6900
Get Directions

NATURAL HEALTH CTR OF MED LAKE PS is a multi-specialty clinic center in Medical Lake, WA. NATURAL HEALTH CTR OF MED LAKE PS NPI is 1326126897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Christopher Wellwood Dc Ps.

The provider's business location address is:

731 N STANLEY ST
MEDICAL LAKE, WA
ZIP 99022-940
Phone: (509) 299-6900

The provider's authorized official is Christopher James Wellwood .
The authorized official title is Ceo and has the following contact phone number (509) 299-6900.

The CLIA number assigned to this NPI record is 50D2163837 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/25/2023.

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	225100000X	Physical Therapist				No
2	363L00000X	Nurse Practitioner				No
3	111NR0400X	Chiropractor	Rehabilitation	CH00034120	WASHINGTON	No
4	207Q00000X	Family Medicine				No
5	261QM1300X	Clinic/Center	Multi-Specialty			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	AP60940534	OTHER	WASHINGTON	NURSE PRACTITIONER LICENSE

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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