Organization · Type 2 NPI

Northwest Functional Nutrition, LLC

Clinic/Center · Bothell, WA

NPI number 1760022156 Active

Practice location

19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000

Mailing address

PO Box 821092
Kenmore, WA 98028-0999

Other practice locations

  • 16818 140th Ave NE, Woodinville, WA 98072-9001 · (425) 588-0480

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

8 other providers at this address

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About NPI 1760022156

Northwest Functional Nutrition, LLC's National Provider Identifier is 1760022156, issued on Jan 14, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bothell, WA. The record was last updated on Sep 21, 2021.