Search › Washington › 103T00000X
Maryellen Dougherty
NPI 1295137610 · on the registry since 2014 · sole proprietor
Practice
- Address
- 13620 Ne 20th St Ste I
Bellevue, WA 98005 - Phone
- (425) 647-7695
- Organisation at this address
- Ophidia Integrative
Golden Holistic Wellness
Moonflower Integrative Medicine
Live Live Home Care & Wellness LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 2700 Robert T Longway Blvd, Flint, MI
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington