Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1932 | OR |
NPI | 1144567009 |
---|---|
Provider Name | Dr. Conan D Jones |
First Address | Bellevue, WA 98004-3011 |
Second Address | Bellevue, WA 98004-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2013 |
Last Update Date | 14/08/2013 |