NPI 1912274408

Purity Integrative Health & Wellness Center, PLLC

Organisation Non-Pharmacy Dispensing Site Mill Creek, WA

Practice location

Address: 15118 Main St Suite 500, Mill Creek, WA 98012-1653
Phone: (425) 337-7029
Mailing address: 2980 N Beverly Glen Cir Suite 100, Los Angeles, CA 90077-1726

Authorised official

Name: Chelsea R. Gordon
Title: Owner
Phone: (425) 337-7029

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence NT 60255395 (WA)

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1912274408
Entity type: Organization
NPI issued: 28 Nov 2011
Record last updated: 19 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.