RADIANT NATUROPATHIC PLLC (NPI# 1639517220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639517220 |
| Entity Type | Organization |
| Organization Name | RADIANT NATUROPATHIC PLLC |
| Other Organization Name | RADIANT NATUROPATHIC WELLNESS CLINIC |
| Practice Address |
16455 Ne 85th St Suite 103 Redmond WA 98052-3673 |
| Practice Telephone | 4254054546 |
| Practice Fax Number | 4254066901 |
| Mailing Telephone | 4254054546 |
| Mailing Fax Number | 4254066901 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | DR. MATTHEW HUNTER CARLSON (OWNER) |
| Authorized Official Telephone | 4254054546 |
| Authorized Official Credential | N.D., L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NT60249605 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Radiant Naturopathic Wellness Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RADIANT NATUROPATHIC PLLC | 6253 1/2 3rd Ave Nw, Seattle, WA 98107 |
| Street Address |
16455 NE 85TH ST SUITE 103 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930217 | Scott E Parker | Dentist | 16455 Ne 85th St, Suite 100, Redmond, WA 98052-3673 | 2005-08-25 |
| 1124265210 | Tim Gerstmar | Naturopath | 16455 Ne 85th St, Suite 102, Redmond, WA 98052-3673 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1619122934 | Eastside Retirement Association | Clinic/Center | 10901 176th Cir Ne, Redmond, WA 98052-7218 | 2008-12-01 |
| 1376076414 | High Desert Women's Care | Clinic/Center | 1245 Nw 4th St Ste 201, Redmond, OR 97756-1680 | 2017-04-05 |
| 1063770196 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-04-26 |
| 1154699924 | Primary Care Redmond, Pllc | Clinic/Center | 8301 161st Ave Ne, Suite 100, Redmond, WA 98052-3858 | 2011-12-08 |
| 1912283805 | Laura Center PC | Clinic/Center | 218 Sw 4th St, Redmond, OR 97756-2312 | 2011-10-24 |
| 1285849042 | Central Oregon Family Medicine, P.C. | Clinic/Center | 645 Nw 4th, Redmond, OR 97756 | 2007-05-14 |
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| 1063037034 | Pioneer Family Medicine, Pllc | Clinic/Center | 20 E J St Ste 2b, Deer Park, WA 99006-8500 | 2020-06-15 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.