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Individual

EVELYN LE ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
1820 BLACK LAKE BLVD SW STE 101C, OLYMPIA, WA 98512-5619
(360) 339-6169
(360) 622-3366
Mailing address
1820 BLACK LAKE BLVD SW STE 101C, OLYMPIA, WA 98512-5619
(360) 339-6169
(360) 622-3366

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
NATU.NT.61193852
WA
175F00000X
Naturopath
Primary
NATU.NT.61193852
WA
207Q00000X
Family Medicine Physician
NATU.NT.61193852
WA
2083P0901X
Public Health & General Preventive Medicine Physician
NATU.NT.61193852
WA
405300000X
Prevention Professional
NATU.NT.61193852
WA

Other

Enumeration date
06/24/2021
Last updated
10/06/2025
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