Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT1331 | WA |
NPI | 1154462729 |
---|---|
Provider Name | Dr. Katie Lynne Shaff |
First Address | Seattle, WA 98124-1936 |
Second Address | Seattle, WA 98103-8004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 18/03/2009 |