| NPI | 1467082057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THEODORE BADGER Medical Director 360-524-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |