VAGABOND MEDICINE PLLC (NPI# 1841658374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841658374 |
| Entity Type | Organization |
| Organization Name | VAGABOND MEDICINE PLLC |
| Practice Address |
16521 13th Ave W Suite #105 Lynnwood WA 98037-8528 |
| Mailing Address |
3931 Federal Ave Everett WA 98201-4842 |
| Practice Telephone | 7744542827 |
| Mailing Telephone | 7744542827 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | DR. SETH LANG ENOS (NATUROPATHIC DOCTOR) |
| Authorized Official Telephone | 7744542827 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
603579157 | WA | Ambulatory Health Care Facilities |
| Street Address |
16521 13TH AVE W SUITE #105 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98037-8528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053656587 | Jana Marie Oliver | Massage Therapist | 16521 13th Ave W, Suite 108, Lynnwood, WA 98037-8528 | 2012-12-10 |
| 1891242731 | Bart F. Robison Dds | Dentist | 16521 13th Ave W, Suite 101, Lynnwood, WA 98037-8528 | 2016-09-08 |
| 1417316456 | Hannah Thomas | Massage Therapist | 16521 13th Ave W, #204, Lynnwood, WA 98037-8528 | 2016-02-18 |
| 1730557364 | Christina Konrad | Counselor | 16521 13th Ave W, Suite 218, Lynnwood, WA 98037-8528 | 2015-09-14 |
| 1437555273 | Massage Connection, Pllc | Specialist | 16521 13th Ave W, Lynnwood, WA 98037-8528 | 2014-11-06 |
| 1295176204 | Vitae Health Center, Pllc | Naturopath | 16521 13th Ave W, Ste 105, Lynnwood, WA 98037-8528 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1629604343 | Tru Health Pllc | Chiropractor | 3503 188th St Se, Lynnwood, WA 98037 | 2020-03-13 |
| 1427536341 | Cierra Lynn Brunette | Dentist | 17425 Wa-99, Suite D, Lynnwood, WA 98037 | 2018-08-02 |
| 1831680974 | Yessica Yasmin Gaxiola | Dental Assistant | 17425 Wa-99 Suite D, Lynnwood, WA 98037 | 2018-05-24 |
| 1851888416 | Mary Soledad Ramos | Registered Nurse | 6506 168th St. Sw, Lynnwood, WA 98037 | 2018-04-19 |
| 1083144984 | Statcare Staffing | Home Health | 3526 168th Pl Sw, Lynnwood, WA 98037 | 2017-06-14 |
| 1770034910 | Emanual Kahsai | Pharmacist | 18422 41st Pl W, Lynnwood, WA 98037 | 2016-10-24 |
| 1477947133 | Costco Wholesale Corporation | Pharmacy | 18109 33rd Ave W, Lynnwood, WA 98037 | 2015-03-20 |
| 1164816872 | Costco Wholesale Corporation | Hearing Aid Equipment | 18109 33rd Avenue West, Lynnwood, WA 98037 | 2015-03-20 |
| 1801212071 | Megan Ann Herrenkohl | Social Worker | 5325 172nd St Sw, Lynnwood, WA 98037 | 2014-03-12 |
| Find all providers in zip 98037 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740502731 | Stanley D Borish Md Inc Ps | Clinic/Center | 19526 64th Ave W, Lynnwood, WA 98036-5100 | 2010-02-18 |
| 1003809229 | Western Washington Medical Group, Inc Ps | Clinic/Center | 3501 Shelby Rd, Suite B, Lynnwood, WA 98087-3599 | 2005-08-23 |
| 1235422452 | Sound Health Physicians Ps | Clinic/Center | 18631 Alderwood Mall Pkwy, Suite 304, Lynnwood, WA 98037-8014 | 2011-05-20 |
| 1164555652 | Lynnwood Medical Center, Incorporated, P.s. | Clinic/Center | 19720 68th Ave W, Suite B, Lynnwood, WA 98036-4568 | 2007-03-13 |
| 1184751638 | Edmonds Family Care, Pllc | Clinic/Center | 6101 200th St Sw, Ste#208, Lynnwood, WA 98036-6077 | 2007-02-28 |
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| 1992315808 | Vera Whole Health Wa, PC | Clinic/Center | 6700 Fort Dent Way Ste 100, Tukwila, WA 98188-2500 | 2020-08-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.