Provider Demographics
NPI:1881566701
Name:JADE MEDICINE PLLC
Entity type:Organization
Organization Name:JADE MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JADE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFANO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-578-3494
Mailing Address - Street 1:5306 BALLARD AVE NW STE 322
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4366
Mailing Address - Country:US
Mailing Address - Phone:206-578-3494
Mailing Address - Fax:206-339-1590
Practice Address - Street 1:5306 BALLARD AVE NW STE 322
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4366
Practice Address - Country:US
Practice Address - Phone:206-578-3494
Practice Address - Fax:206-339-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty