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SOURCE NORTHWEST INTEGRATIVE MEDICINE NPI 1063971703


NPI Information

NPI: 1063971703
Provider Name: SOURCE NORTHWEST INTEGRATIVE MEDICINE
Classification: Naturopath - 175F00000X
Entity Type: Organization
Address:
7206 267TH ST NW STE 102
STANWOOD, WA
ZIP 98292
Phone: (360) 629-2222
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SOURCE NORTHWEST INTEGRATIVE MEDICINE is a naturopath in Stanwood, WA. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. SOURCE NORTHWEST INTEGRATIVE MEDICINE NPI is 1063971703. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7206 267TH ST NW STE 102
STANWOOD, WA
ZIP 98292-269
Phone: (360) 629-2222
Fax: (360) 629-7074

The provider's authorized official is Carrie L Hardy .
The authorized official title is Physician and has the following contact phone number (360) 629-2222.

The enumeration date for this NPI number is 3/12/2019 and was last updated on 3/12/2019.


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
1175F00000XNaturopathYes
2208D00000XGeneral PracticeNo

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

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