Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001330 | WA |
NPI | 1093970329 |
---|---|
Provider Name | Mr. Christopher Michael Valley |
First Address | Spokane, WA 99204-2308 |
Second Address | Spokane, WA 99204-2308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 17/04/2013 |