Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000368 | WA |
NPI | 1033436779 |
---|---|
Provider Name | Dr. Les Griffith |
First Address | Lynnwood, WA 98036-6738 |
Second Address | Lynnwood, WA 98036-6738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 20/04/2010 |