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Contact Information

GAIA MED PLLC
5122 25TH AVE NE
SEATTLE, WA98105
 Phone: 206-900-9798
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Acupuncturist

171100000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for GAIA MED PLLC · (Female)

NPI # 1407345804
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2018
Last updated 06/08/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 918610
  • WA License # 60245488
  • WA License # 60245607
  • WA Medicaid 2MP000004632060
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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