Northwest Functional Nutrition, LLC
NPI #1760022156 in Bothell, Washington
Provider Information
- NPI Number
- 1760022156
- Entity Type
- Organization
- Organization Name
- Northwest Functional Nutrition, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 14, 2020
- Last Updated
- Sep 21, 2021
Practice Location
- Address
- 19125 N CREEK PKWY STE 120
- City
- Bothell
- State
- Washington
- ZIP Code
- 98011-8000
- Phone
- (425) 588-0480
Authorized Official
- Name
- NIKKI GEPNER, RD, CD
- Title
- OWNER
- Phone
- (425) 588-0480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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