Individual
DR. MARK OWEN FREDERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
2003 SE MAPLE VALLEY HWY, SUITE 212, RENTON, WA 98057
(425) 652-2430
(425) 291-7899
Mailing address
2003 SE MAPLE VALLEY HWY, SUITE 212, RENTON, WA 98057
(425) 652-2430
(425) 291-7899
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
00000737
WA
Other
Enumeration date
11/17/2006
Last updated
02/28/2014
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