Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 02-704 | AZ |
N | 175F00000X | Naturopath | NT00000694 | WA |
N | 175L00000X | Homeopath | 02-704 | AZ |
N | 175L00000X | Homeopath | NT00000694 | WA |
NPI | 1639298086 |
---|---|
Provider Name | Dr. Christopher Yashpal Jayne |
First Address | Port Townsend, WA 98368-6706 |
Second Address | Port Townsend, WA 98368-6221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |