Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1114695129 |
---|---|
Provider Name | Dr. Colleen Jamieson |
First Address | Edmonds, WA 98020-3912 |
Second Address | Edmonds, WA 98026-4542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2021 |
Last Update Date | 03/09/2021 |