Sage Naturopathic Medicine Clinic, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

SAGE NATUROPATHIC MEDICINE CLINIC, PLLC

Doing business as

Sage Integrative Medicine Clinic

Practice address

21827 76TH Ave W
Suite 202
Edmonds, WA 98026-7981

Phone

(425) 835-0359

Fax

(888) 431-8819

NPI assigned

Jul 15, 2013

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SAGE NATUROPATHIC MEDICINE CLINIC, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Angila M. Jaeggli, ND

Title

Medical Director

Phone

(425) 835-0359

Specialties & licenses 1

Addresses

Other names 1

• Sage Integrative Medicine Clinic Doing business as

Part of

Sage Naturopathic Medicine Clinic PLLC

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1386085603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W",
            "address_2": "SUITE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267981",
            "telephone_number": "425-835-0359",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE NATUROPATHIC MEDICINE CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE NATUROPATHIC MEDICINE CLINIC, PLLC",
        "enumeration_date": "2013-07-15",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "JAEGGLI",
        "authorized_official_first_name": "ANGILA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-835-0359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Integrative Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cameron Douglas Sage, LMHCA
• Camelia Saha
• Nayrika Salamati, DDS
• Marco A Salazar, MD, PH.D
• Victor M Salcedo, MD

• Non-Pharmacy Dispensing Site in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.