Pacific Northwest Integrative Medicine

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60059909 Issued in WA

Legal business name

PACIFIC NORTHWEST INTEGRATIVE MEDICINE

Practice address

1708 Yakima Ave
Suite 115
Tacoma, WA 98405-5307

Phone

(253) 682-0925

Fax

(253) 682-0927

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Heather Buckle

Title

President

Phone

(206) 393-8744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1366845448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 ASHWORTH AVE N",
            "address_2": "UNIT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033501",
            "telephone_number": "206-393-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 YAKIMA AVE",
            "address_2": "SUITE 115",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055307",
            "telephone_number": "253-682-0925",
            "fax_number": "253-682-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BUCKLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-393-8744",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60059909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical Dialysis Services
• Pacific Medical Laboratory Services
• Pacific Medical Specialty on Call Group
• Pacific Medical, Inc.
• Pacific Nephrology Associates, P.S.
• Pacific Northwest Kaizen, PLLC
• Pacific Northwest Lactation, LLC
• Pacific Northwest Orthodontics
• Pacific Northwest Psychology & Consulting, PLLC
• Pacific Observation Medicine PLLC

• Naturopath in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.