Organization
ROOT OF MEDICINE, PLLC
Active
Other names
Rebel Med NW, Rebel Med Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JOHAN SIMON ND (OWNER)
(206) 297-6013
Entity
Organization
Contact information
Practice address
5401 LEARY AVE NW STE 202, SEATTLE, WA 98107-4070
(206) 206-2976
(206) 582-3472
Mailing address
5401 LEARY AVE NW STE 202, SEATTLE, WA 98107-4070
(206) 206-2976
(206) 582-3472
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60412804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035017
—
WA
05
—
2096495
—
WA
Enumeration date
09/03/2015
Last updated
12/02/2025
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