Organization
TERRA DUSA, PLLC
Active
Other names
Terra Dusa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALINA SOTO ND, LMHCA (CEO)
(206) 867-4547
Entity
Organization
Contact information
Practice address
12544 37TH AVE NE, SEATTLE, WA 98125-4655
(206) 867-4547
Mailing address
12544 37TH AVE NE, SEATTLE, WA 98125-4655
(206) 483-4584
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578809786
PROVIDER NPI
WA
01
—
MC60939101
LICENSED MENTAL HEALTH COUNSELOR
WA
01
—
NT61109144
NATUROPATHIC DOCTOR LICENSE
WA
Enumeration date
07/28/2022
Last updated
07/28/2022
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