Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60595667 | WA |
NPI | 1083085617 |
---|---|
Provider Name | Hannah Gordon |
First Address | Seattle, WA 98117 |
Second Address | Seattle, WA 98117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2015 |
Last Update Date | 13/09/2018 |