Source Northwest Integrative Medicine

NPI #1063971703 in Stanwood, Washington

Provider Information

NPI Number: 1063971703
Entity Type: Organization
Organization Name: Source Northwest Integrative Medicine
Primary Specialty: Naturopath
Enumeration Date: Mar 12, 2019
Last Updated: Mar 12, 2019

Practice Location

Address: 7206 267TH ST NW STE 102
City: Stanwood
State: Washington
ZIP Code: 98292-6269
Phone: (360) 629-2222

Authorized Official

Name: DR. CARRIE L HARDY, ND
Title: PHYSICIAN
Phone: (360) 629-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Naturopath	175F00000X	Primary

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