Provider Demographics
NPI:1174939045
Name:HOOKER, BEAU (ND)
Entity type:Individual
Prefix:DR
First Name:BEAU
Middle Name:
Last Name:HOOKER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9757 NE JUANITA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4291
Mailing Address - Country:US
Mailing Address - Phone:425-576-9272
Mailing Address - Fax:425-576-0894
Practice Address - Street 1:9757 NE JUANITA DR STE 200
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4291
Practice Address - Country:US
Practice Address - Phone:425-576-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60477549175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath