Provider Demographics
NPI:1578382891
Name:DEMATTEO, ALI MARIE (ND)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:MARIE
Last Name:DEMATTEO
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 1:1600 E JEFFERSON ST STE 603
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5649
Mailing Address - Country:US
Mailing Address - Phone:206-726-0034
Mailing Address - Fax:
Practice Address - Street 1:1600 E JEFFERSON ST STE 603
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5649
Practice Address - Country:US
Practice Address - Phone:206-726-0034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath