Provider Demographics
NPI:1780416289
Name:SIMPLY YOU MEDICINE, PLLC
Entity type:Organization
Organization Name:SIMPLY YOU MEDICINE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTROIANNI
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:206-399-0812
Mailing Address - Street 1:PO BOX 3094
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98509-3094
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2805 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2038
Practice Address - Country:US
Practice Address - Phone:360-525-9913
Practice Address - Fax:360-282-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty