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MAGNOLIA NATUROPATHIC MEDICINE
NPI 1043695547
Clinic/Center - Medical Specialty in Puyallup, WA

Active since July 25, 2015
803 39TH AVE SW STE F, PUYALLUP, WA 98373(253) 848-1055(253) 848-5533 Get Directions Write a Review

NPPES record last updated: July 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Naturopathic Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA NATUROPATHIC MEDICINE (NPI 1043695547) is a healthcare organization registered as a medical specialty in Puyallup, Washington and active in the NPI registry since July 2015. The organization lists Laura Elayne Firetag, Naturopathic Physician, as its authorized official.

NPPES Registry Identity

NPI1043695547
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMAGNOLIA NATUROPATHIC MEDICINE, LLC
Location Address803 39TH AVE SW STE FPuyallup, WA 98373-3692
Mailing Address803 39th Ave Sw Ste FPuyallup, WA 98373-3692 · (253) 848-1055 · Fax (253) 848-5533
Phone(253) 848-1055
Fax(253) 848-5533
Organization SubpartNo
Authorized OfficialLaura Elayne FiretagNaturopathic Physician · (843) 209-3966
Enumeration DateJuly 25, 2015
✔ NPI 1043695547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in WA · NT60524427
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
803 39TH AVE SW STE F, Puyallup, WA 98373
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Other Names 1

Doing Business AsMagnolia Naturopathic Medicine

Other Identifiers 1

Other1235537234WA · Provider Npi

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY FANG
Dentist
803 39TH AVE SW STE F
PUYALLUP, WA 98373
Pierce County (253) 445-1500
PUYALLUP WELLNESS CENTER
Naturopath
803 39TH AVE SW STE F
PUYALLUP, WA 98373
Pierce County (253) 848-1055
ISABELLE BERNADETTE DALTON L.M.P., PH.D
Massage Therapist
803 39TH AVE SW STE F
PUYALLUP, WA 98373
Pierce County (253) 221-7374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Naturopathic Medicine, LLC's NPI number?

The NPI number for Magnolia Naturopathic Medicine, LLC is 1043695547. It was assigned to this organization in the NPPES registry on July 25, 2015. The provider is doing business as Magnolia Naturopathic Medicine.

Where is Magnolia Naturopathic Medicine, LLC located?

Magnolia Naturopathic Medicine, LLC is located at 803 39th Ave SW Ste F, Puyallup, WA 98373. The listed phone number is (253) 848-1055.

What is Magnolia Naturopathic Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Magnolia Naturopathic Medicine, LLC was last updated on July 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.