# VASHON NATURAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376964247
- **Authorized official:** DR. KELLY WRIGHT ND (OWNER, PHYSICIAN)
- **Authorized official phone:** (206) 463-4778

## Contact information

- **Practice address:** 18913 VASHON HWY SW, VASHON, WA 98070-5215
- **Practice address phone:** (206) 463-4778
- **Practice address fax:** (206) 463-4791
- **Mailing address:** 18913 VASHON HWY SW, VASHON, WA 98070-5215
- **Mailing address phone:** (206) 463-4778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | NT0000874 | WI | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 12/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20131126590616 | — | WA |