Natural Health Ctr Of Med Lake Ps | |
731 N Stanley St, Medical Lake, WA 99022-8940 | |
(509) 299-6900 | |
Not Available |
Full Name | Natural Health Ctr Of Med Lake Ps |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 731 N Stanley St, Medical Lake, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326126897 | NPI | - | NPPES |
AP60940534 | Other | WA | NURSE PRACTITIONER LICENSE |
Provider Name | Christopher James Wellwood |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457413833 PECOS PAC ID: 3870541535 Enrollment ID: I20050110000358 |
Provider Name | Maya A Wiley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033321179 PECOS PAC ID: 9931209228 Enrollment ID: I20070716000618 |
Provider Name | Benjamin C Hubbard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154588978 PECOS PAC ID: 1153480033 Enrollment ID: I20081106000660 |
Provider Name | Stacey E Richards |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962485821 PECOS PAC ID: 7810024064 Enrollment ID: I20100421000130 |
Provider Name | Mark P Guthrie |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407958259 PECOS PAC ID: 1153516828 Enrollment ID: I20101109000155 |
Provider Name | Richard Daniel Ervin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902252505 PECOS PAC ID: 6608154893 Enrollment ID: I20161021001533 |
Provider Name | Christopher James Wellwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457413833 PECOS PAC ID: 3870541535 Enrollment ID: I20190425002899 |
Provider Name | Candie M Wellwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386254290 PECOS PAC ID: 9133546708 Enrollment ID: I20200827000940 |
Provider Name | Jaelee Carlton |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003376633 PECOS PAC ID: 2264801158 Enrollment ID: I20221215003050 |
Mailing Address | Practice Location Address |
---|---|
Natural Health Ctr Of Med Lake Ps 731 N Stanley St, Medical Lake, WA 99022-8940 Ph: (509) 299-6900 | Natural Health Ctr Of Med Lake Ps 731 N Stanley St, Medical Lake, WA 99022-8940 Ph: (509) 299-6900 |