Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | MA60404020 | WA |
NPI | 1033548177 |
---|---|
Provider Name | George Ray Coleman |
First Address | Seattle, WA 98125-8801 |
Second Address | Seattle, WA 98125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2013 |
Last Update Date | 08/11/2013 |