Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 685 | WA |
N | 175L00000X | Homeopath | 685 | WA |
NPI | 1720207368 |
---|---|
Provider Name | Dr. Jane B. Pearson |
First Address | Poulsbo, WA 98370-9784 |
Second Address | Poulsbo, WA 98370-9784 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
685 | ND LISCENSE (01) | WA |