Eatonville Integrative Medicine P.S.
Family Medicine in Eatonville, WA. Organization (NPI-2).
NPI number1962137125
StatusActive
Last updated in NPPESNov 18, 2025
Details
- NPI
- 1962137125
- Entity type
- Organization (NPI-2)
- Legal business name
- Eatonville Integrative Medicine P.S.
- Organization subpart
- No
- Enumeration date
- Jul 21, 2022
- Certification date
- Nov 18, 2025
- Last updated
- Nov 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Eatonville Integrative Medicine (Doing Business As)
Practice location
320 Center Street EastEatonville, WA 98328-7449
Phone 360-832-2222 · Fax 360-859-9592
Mailing address
Po Box 1924Eatonville, WA 98328-1924
Phone 360-832-2222 · Fax 360-859-9592
Authorized official
Melissa Bronoske
President
2536774894
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