Provider Demographics
NPI:1871965475
Name:MCPHERSON, ELISABETH JOELLE (ND)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:JOELLE
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22525 MARINE VIEW DR S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-6831
Mailing Address - Country:US
Mailing Address - Phone:360-870-9832
Mailing Address - Fax:206-824-0795
Practice Address - Street 1:22525 MARINE VIEW DR S
Practice Address - Street 2:SUITE 100
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6831
Practice Address - Country:US
Practice Address - Phone:360-870-9832
Practice Address - Fax:206-824-0795
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60607192175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath