# NEUROVEDA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Child and Adult Neurology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700255502
- **Authorized official:** GILLIAN EHRLICH ARNP DNP (OWNER)
- **Authorized official phone:** (206) 379-1213

## Contact information

- **Practice address:** 1700 WESTLAKE AVE N, SUITE 100, SEATTLE, WA 98109-6212
- **Practice address phone:** (206) 379-1213
- **Practice address fax:** (206) 492-2003
- **Mailing address:** 1700 WESTLAKE AVE N, SUITE 100, SEATTLE, WA 98109-6212
- **Mailing address phone:** (206) 379-1213
- **Mailing address fax:** (206) 492-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 603337701 | WA | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2015
- **Last updated:** 06/16/2025