Organization
ORIGINS NATURAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA MCCUBBINS ND (OWNER)
(360) 385-5375
Entity
Organization
Contact information
Practice address
213 DECATUR ST, PORT TOWNSEND, WA 98368-4623
(360) 385-5375
(360) 343-0101
Mailing address
213 DECATUR ST, PORT TOWNSEND, WA 98368-4623
(360) 385-5375
(360) 343-0101
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
NT60241039
WA
Other
Enumeration date
05/16/2014
Last updated
09/16/2014
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