Organization Active NPI

Maidenhair Hormone Clinic for Women, PLLC

  • Naturopath
  • Bellingham, WA
National Provider Identifier
1134594344
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60320962 Issued in WA
Legal business name
MAIDENHAIR HORMONE CLINIC FOR WOMEN, PLLC
Practice address
1100 Larrabee Ave Ste 100
Bellingham, WA 98225-7341
Phone
(360) 788-5173
Fax
(360) 255-0119
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brenden Witte, ND
Title
Member
Phone
(360) 788-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60320962 WA Primary

Addresses

Primary practice location

1100 Larrabee Ave Ste 100
Bellingham, WA 98225-7341

Mailing address

1100 Larrabee Ave Ste 100
Bellingham, WA 98225-7341
Phone (360) 788-5173

National Provider Directory

National Provider Directory

Locations

1100 Larrabee Ave
Ste 100
Bellingham, WA 98225
Phone (360) 255-5355

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1134594344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LARRABEE AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257341",
            "telephone_number": "360-788-5173",
            "fax_number": "360-255-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LARRABEE AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257341",
            "telephone_number": "360-788-5173",
            "fax_number": "360-255-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIDENHAIR HORMONE CLINIC FOR WOMEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "BRENDEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-788-5173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60320962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.