| Sky River Naturopathic Center Llc | |
| 33405 State Route 2 Sultan WA 98294-8607 | |
| (360) 793-0206 | |
| Not Available | 
| Full Name | Sky River Naturopathic Center Llc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 33405 State Route 2, Sultan, Washington | 
| Authorized Official Name and Position | Brandy Lipscomb (MEDICAL DIRECTOR) | 
| Authorized Official Contact | 3607930206 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sky River Naturopathic Center Llc Po Box 1568 Sultan WA 98294-1568 Ph: () - | Sky River Naturopathic Center Llc 33405 State Route 2 Sultan WA 98294-8607 Ph: (360) 793-0206 | 
| NPI Number | 1174901169 | 
|---|---|
| Provider Enumeration Date | 05/11/2015 | 
| Last Update Date | 05/11/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174901169 | NPI | - | NPPES | 
| 2032281 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | NT60505327 (Washington) | Secondary | 
| 261QP2300X | Clinic/center - Primary Care | NT 00001534 (Washington) | Primary | 
| Sky Valley Family Medicine, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 W Stevens Ave, Sultan, WA 98294 Phone: 360-793-0201 Fax: 360-793-2429 | |
| Ksr Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31111 Us-2, Sultan, WA 98294 Phone: 360-953-5250 |