Organization
NORTHWEST CENTER FOR OPTIMAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASRA POURNADEALI N.D. (DIRECTOR)
(360) 651-9355
Entity
Organization
Contact information
Practice address
316 STATE AVE, MARYSVILLE, WA 98270-5028
(360) 651-9355
(360) 651-7745
Mailing address
316 STATE AVE, MARYSVILLE, WA 98270-5028
(360) 651-9355
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
05/02/2007
Last updated
12/28/2011
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