Michelle Ann Antonich, N.D. – Naturopath

Key facts

NPI: 1235276353
Entity type: Individual (NPI type 1)
Primary specialty: Naturopath 175F00000X
License: 00000988 (WA)
Practice address: 916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone: (360) 336-5658
Fax: (360) 336-5655
NPI assigned: Jan 30, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Skagit Family Health Clinic LLC Cowan Seth P MBR Birthing Clinic/Center · Mount Vernon, WA · NPI 1912213372

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
00000988	WA	MD	Naturopath

Practice roles

Organization	Specialty	Status	New patients
Skagit Family Health Clinic LLC Cowan Seth P MBR		Current	Accepting new patients

Locations

916 S 3rd St
Mount Vernon, WA 98273
Phone (360) 336-5658

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Naturopath	175F00000X	00000988	WA	Yes

Addresses

Primary practice location

916 S 3Rd St
Mount Vernon, WA 98273-4324

Mailing address

916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone (360) 336-5658

Other identifiers

Identifier	Type	State	Issuer
2006831	Medicaid	WA

Other providers in Mount Vernon, WA

All providers in Mount Vernon, WA · Naturopath in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.