# FAUNTLEROY NATUROPATHIC MEDICINE

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

## Provider details

- **NPI number:** 1710714365
- **Authorized official:** JASON MICHAEL FAUNTLEROY ND (PHYSICIAN OWNER)
- **Authorized official phone:** (406) 552-2927

## Contact information

- **Practice address:** 12032 3RD AVE NE, SEATTLE, WA 98125-4728
- **Practice address phone:** (406) 552-2927
- **Practice address fax:** (800) 776-2339
- **Mailing address:** 12032 3RD AVE NE, SEATTLE, WA 98125-4728
- **Mailing address phone:** (406) 552-2927
- **Mailing address fax:** (800) 776-2339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | — | NULL | Yes |
| 175F00000X | Naturopath | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 09/17/2024