Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60216753 | WA |
NPI | 1013457779 |
---|---|
Provider Name | William Mcdonald |
First Address | Seattle, WA 98107-4847 |
Second Address | Seattle, WA 98107-4847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2017 |
Last Update Date | 28/02/2017 |