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Northwest Functional Nutrition, Llc
Clinic/Center in Bothell, Washington
NPI 1760022156

Northwest Functional Nutrition, Llc is a Clinic/Center based in Kenmore, WA. Northwest Functional Nutrition, Llc practices in Bothell, WA. The NPI Number for Northwest Functional Nutrition, Llc is 1760022156 and holds a License No. (Washington).

The current practice location address for Northwest Functional Nutrition, Llc is 19125 N Creek Pkwy Ste 120, Bothell, WA and can be reached out via phone at 425-588-0480.

Location: 19125 N Creek Pkwy Ste 120, Bothell, WA, 98028-0999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760022156
Provider Name
Northwest Functional Nutrition, Llc
Credential
Provider Entity Type
Organization
Address
19125 N Creek Pkwy Ste 120, Bothell, WA, 98028-0999
Phone Number
425-588-0480
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19125 N Creek Pkwy Ste 120
City
Bothell
State
Washington
Zip
98011-8000
Phone Number
425-588-0480
Fax Number
person
Provider Business Mailing Address Details
Address
19125 N Creek Pkwy Ste 120
City
Bothell
State
Washington
Zip
98011-8000
Phone Number
425-588-0480
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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