NPIMap

Organization Active NPI

Interactive Health Clinic, PLLC

  • Naturopath
  • Lynnwood, WA
National Provider Identifier
1780973859
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
INTERACTIVE HEALTH CLINIC, PLLC
Practice address
16521 13TH Ave W Ste 105
Lynnwood, WA 98037-8530
Phone
(425) 361-7945
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Brenden Cochran, N.D.NPI 1346540564
Title
Co-Owner
Phone
(425) 361-7945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

16521 13TH Ave W Ste 105
Lynnwood, WA 98037-8530

Mailing address

16521 13TH Ave W Ste 105
Lynnwood, WA 98037-8530

National Provider Directory

National Provider Directory

Locations

16521 13th Ave W
Ste 105
Lynnwood, WA 98037
Phone (425) 361-7945

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1780973859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378530",
            "telephone_number": "425-361-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "BRENDEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-361-7945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.