Individual
DR. PUSHPA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
10051 CALIFORNIA AVE SW, SEATTLE, WA 98146-1071
(206) 498-1500
Mailing address
10051 CALIFORNIA AVE SW, SEATTLE, WA 98146-1071
(206) 498-1500
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT000000925
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NT000000925
WA STATE MEDICAL LICENSE
WA
Enumeration date
11/24/2006
Last updated
07/12/2013
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