Provider Demographics
NPI:1437200847
Name:BARKSHIRE, KATHERINE JOAN (ND)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JOAN
Last Name:BARKSHIRE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4460 NE SYLTE RD
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7821
Mailing Address - Country:US
Mailing Address - Phone:360-598-3052
Mailing Address - Fax:
Practice Address - Street 1:1736 NE RIDDELL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3649
Practice Address - Country:US
Practice Address - Phone:360-475-0400
Practice Address - Fax:360-475-0401
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1209175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath