Provider Demographics
NPI:1366593758
Name:RESTORE BALANCE NATURAL HEALTH CENTR
Entity type:Organization
Organization Name:RESTORE BALANCE NATURAL HEALTH CENTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MYLINH
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-667-5583
Mailing Address - Street 1:4610 200TH ST SW
Mailing Address - Street 2:SUITE D
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6606
Mailing Address - Country:US
Mailing Address - Phone:425-697-5583
Mailing Address - Fax:425-697-5584
Practice Address - Street 1:4610 200TH ST SW
Practice Address - Street 2:SUITE D
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6606
Practice Address - Country:US
Practice Address - Phone:425-697-5583
Practice Address - Fax:425-697-5584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000825175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty