Provider Demographics
NPI:1801526454
Name:NATALIE PAUL PRIVATE PRACTICE, PLLC
Entity type:Organization
Organization Name:NATALIE PAUL PRIVATE PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:971-225-6970
Mailing Address - Street 1:5501 NE 109TH CT STE N
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6174
Mailing Address - Country:US
Mailing Address - Phone:971-225-6970
Mailing Address - Fax:833-464-3458
Practice Address - Street 1:5501 NE 109TH CT STE N
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6174
Practice Address - Country:US
Practice Address - Phone:971-225-6970
Practice Address - Fax:833-464-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care