Mark Owen Fredericksen, N.D.

Naturopath · Renton, WA

Individual Active NPI

NPI number 1982777629

Practice location

2003 SE Maple Valley Hwy
Suite 212
Renton, WA 98057
Phone
(425) 652-2430
Fax
(425) 291-7899

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NPI record

NPI
1982777629
Entity type
Individual (Type 1)
Enumeration date
November 17, 2006
Last updated
February 28, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Naturopath Primary 175F00000X 00000737 WA

About Mark Fredericksen

Mark Owen Fredericksen, N.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Naturopath (code 175F00000X). The practice location is 2003 SE Maple Valley Hwy, Suite 212, Renton, WA 98057. The NPI number 1982777629 was assigned on November 17, 2006 and the record was last updated on February 28, 2014.

Mark Fredericksen lists a license in the registry: #00000737 (WA) for Naturopath. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Owen Fredericksen, N.D.?

The NPI number is 1982777629.

What is the phone number of Mark Fredericksen?

The phone number listed for the practice location is (425) 652-2430.

Where is Mark Fredericksen located?

2003 SE Maple Valley Hwy, Suite 212, Renton, WA 98057.

What is the taxonomy code for Mark Fredericksen?

The primary taxonomy code is 175F00000X – Naturopath.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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