Provider Demographics
NPI:1447372891
Name:HALLORAN, KATHLEEN A (ND)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:A
Last Name:HALLORAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-0507
Mailing Address - Country:US
Mailing Address - Phone:206-601-2612
Mailing Address - Fax:425-888-0636
Practice Address - Street 1:231 BENDIGO BLVD N
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-8259
Practice Address - Country:US
Practice Address - Phone:425-888-1018
Practice Address - Fax:425-888-0636
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001453175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath