Individual
DR. DEJANIQUE SHERIA NORTHWAYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 397-1985
(360) 604-1604
Mailing address
9524 INTERLAKE AVE N UNIT B, SEATTLE, WA 98103-3324
(360) 904-0244
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
04/23/2026
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