| NPI | 1346660099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLOW MOORE Member 360-694-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60062846) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |