Provider Demographics
NPI:1679011845
Name:CHEATUM, ERIN (ND)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CHEATUM
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19201 108TH AVE SE STE 101
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-7379
Mailing Address - Country:US
Mailing Address - Phone:253-277-9130
Mailing Address - Fax:253-981-3246
Practice Address - Street 1:19201 108TH AVE SE STE 101
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055
Practice Address - Country:US
Practice Address - Phone:253-277-9130
Practice Address - Fax:253-981-3246
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60714884175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath