Organization
INTEGRATIVE HEALTH INSTITUTE
Active
Other names
Sophia Health Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DIETRICH KLINGHARDT MD (MEDICAL DIRECTOR)
(425) 402-4401
Entity
Organization
Contact information
Practice address
18106 140TH AVE NE, WOODINVILLE, WA 98072-4312
(425) 402-4401
(425) 402-4389
Mailing address
18106 140TH AVE NE, WOODINVILLE, WA 98072-4312
(425) 402-4401
(425) 402-4389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00022065
MEDICAL LICENSE
WA
Enumeration date
08/24/2017
Last updated
07/21/2022
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