Vagabond Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

603579157 Issued in WA

Legal business name

VAGABOND MEDICINE PLLC

Practice address

16521 13TH Ave W
Suite #105
Lynnwood, WA 98037-8528

Phone

(774) 454-2827

NPI assigned

Jan 28, 2016

Last updated

Jan 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seth Lang Enos, N.D.NPI 1407213929

Title

Naturopathic Doctor

Phone

(774) 454-2827

Specialties & licenses 1

Addresses

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.

• Seth Lang Enos, N.D.

  • Naturopath
  • Everett, WA
  • NPI 1407213929
  NPD (past) Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1841658374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 FEDERAL AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014842",
            "telephone_number": "774-454-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W",
            "address_2": "SUITE #105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378528",
            "telephone_number": "774-454-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAGABOND MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "ENOS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "LANG",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "774-454-2827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "603579157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Patricia Vaisberg, DO
• Artur Vajushi, LPN
• VI Valentine
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• Carlos Vallejo

• Primary Care Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.