| Source Northwest Integrative Medicine | |
|
7206 267th St Nw Ste 102 Stanwood WA 98292-6269 | |
| (360) 629-2222 | |
| (360) 629-7074 |
| Full Name | Source Northwest Integrative Medicine |
|---|---|
| Speciality | Naturopath |
| Location | 7206 267th St Nw Ste 102, Stanwood, Washington |
| Authorized Official Name and Position | Carrie L Hardy (PHYSICIAN) |
| Authorized Official Contact | 3606292222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Source Northwest Integrative Medicine 7206 267th St Nw Ste 102 Stanwood WA 98292-6269 Ph: (360) 629-2222 | Source Northwest Integrative Medicine 7206 267th St Nw Ste 102 Stanwood WA 98292-6269 Ph: (360) 629-2222 |
| NPI Number | 1063971703 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063971703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Primary |
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