Individual
DR. ERIC WAYNE BASILIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
4520 INTELCO LOOP SE BLDG 3, LACEY, WA 98503-6008
(360) 489-0429
(360) 972-2526
Mailing address
4520 INTELCO LOOP SE BLDG 3, LACEY, WA 98503-6008
(360) 489-0429
(360) 972-2526
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60812682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NT60812682
NATUROPATHIC PHYSICIAN LICENSE
WA
Enumeration date
12/04/2017
Last updated
06/29/2021
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