DR. MASON EDWARD WALLACE (NPI# 1184094138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184094138 |
Entity Type | Individual |
Full Name | DR. MASON EDWARD WALLACE |
Credential | ND |
Practice Address |
33431 13th Pl S Federal Way WA 98003-6357 |
Mailing Address |
955 Powell Ave Sw Renton WA 98057-2908 |
Practice Telephone | 2538747634 |
Practice Fax Number | 2538747635 |
Mailing Telephone | 4252771311 |
Mailing Fax Number | 4252771566 |
Enumeration Date | 2015-10-02 |
Last Update Date | 2020-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60601241 | WA | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3670 Stone Way N, Seattle, WA 981038004 | 5733533242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033500525 | Mason Wallace | Physical Therapist | 209 Madison St, Suite Ll2, Alexandria, VA 22314-1764 | 2015-02-05 |
Street Address |
33431 13TH PL S |
City | FEDERAL WAY |
State | WA |
Zip Code | 98003-6357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679575039 | Healthpoint | Family Medicine | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2005-08-15 |
1497383426 | Julisa Claudia Aguilar | Case Manager/Care Coordinator | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2020-03-27 |
1467921361 | Lisa Hammon | Nurse Practitioner | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2018-11-20 |
1598279135 | Melissa Ann Avila | Nurse Practitioner | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-17 |
1497284640 | Starla Dawn Wright | Registered Nurse | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2017-06-09 |
1114456662 | Brian Stewart | Social Worker | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2017-06-08 |
1558899294 | Patricia M Buzzard | Registered Nurse | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2017-05-25 |
1972031672 | Nancy Ann Vondrashek | Registered Nurse | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2017-05-25 |
1598292807 | Patty Fumiyo Furukawa-stutz | Registered Nurse | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2017-05-17 |
1992255459 | Wendell Sylvester | Nurse Practitioner | 33431 13th Pl S, Federal Way, WA 98003 | 2016-10-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
Find all providers in zip 98003 |
Taxonomy Code | 175F00000X |
Grouping | Other Service Providers |
Classification | Naturopath |
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598320723 | Celeste Diana Bosworth | Naturopath | 2029 S 287th Pl, Federal Way, WA 98003-3324 | 2019-05-02 |
1457827560 | Kalea Rose Mcbride-carbary | Naturopath | 29314 11th Pl S, Federal Way, WA 98003-3739 | 2018-10-16 |
1225550551 | Revive Low T, LLC | Naturopath | 720 S 320th St Ste A, Federal Way, WA 98003-5254 | 2017-07-07 |
1255996864 | Kyung Joong Park | Naturopath | 530 S 336th St, Federal Way, WA 98003-6383 | 2019-05-08 |
1427557776 | Sooha Lee | Naturopath | 32020 1st Ave S Ste 106, Federal Way, WA 98003-5718 | 2018-02-01 |
1336577642 | Allison Greenberg | Naturopath | 900 S 336th St, Federal Way, WA 98003-6311 | 2013-10-23 |
1497022883 | Nhung Viet Nguyen | Naturopath | 900 S 336th St, Federal Way, WA 98003-6311 | 2011-11-29 |
1144469297 | Karen Hurley | Naturopath | 900 S 336th St, Federal Way, WA 98003-6311 | 2009-02-12 |
1679775662 | Kathleen A Jade | Naturopath | 33838 Pacific Hwy S, B-200, Federal Way, WA 98003-6891 | 2007-06-03 |
1881735918 | Karen P Rasmussen | Naturopath | 900 S 336th St, Federal Way, WA 98003-6311 | 2007-02-09 |
Find all providers in FEDERAL WAY |
City | FEDERAL WAY |
Zip Code | 98003 |
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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.