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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

NPI Number 1407345804
LBN Legal business name GAIA MED PLLC
Authorized official EVA KOZURA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2018
Last updated 06/08/2018 - About 8 years ago
Identifiers
IL License # 918610
WA License # 60245488
WA License # 60245607
WA Medicaid 2MP000004632060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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