| Functional Medicine Northwest | |
|
8010 15th Ave Nw Suite D Seattle WA 98117 | |
| (206) 268-0397 | |
| (206) 518-9225 |
| Full Name | Functional Medicine Northwest |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8010 15th Ave Nw, Seattle, Washington |
| Authorized Official Name and Position | Kimberly A Iller (MEMBER/OWNER) |
| Authorized Official Contact | 2062680397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine Northwest 8010 15th Ave Nw Suite D Seattle WA 98117 Ph: (206) 268-0397 | Functional Medicine Northwest 8010 15th Ave Nw Suite D Seattle WA 98117 Ph: (206) 268-0397 |
| NPI Number | 1649782681 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 10/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649782681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | NT60115399 (Washington) | Primary |
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