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EATONVILLE INTEGRATIVE MEDICINE P.S.
NPI 1962137125
Family Medicine in Eatonville, WA

Active since July 21, 2022CLIA 50D2266829 · Microscopy
320 CENTER STREET EAST, EATONVILLE, WA 98328(360) 832-2222(360) 859-9592 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, Jan 25, 2023, Sep 22, 2022 and 1 more (4 updates tracked since 2022).

About Eatonville Integrative Medicine P.s. NPPES

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

EATONVILLE INTEGRATIVE MEDICINE P.S. (NPI 1962137125), doing business as Eatonville Integrative Medicine, is a healthcare organization registered as a family medicine in Eatonville, Washington and active in the NPI registry since July 2022. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Melissa Bronoske, President, as its authorized official.

NPPES Registry Identity

NPI1962137125
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEATONVILLE INTEGRATIVE MEDICINE P.S.
Location Address320 CENTER STREET EASTEatonville, WA 98328-7449
Mailing AddressPo Box 1924Eatonville, WA 98328-1924 · (360) 832-2222 · Fax (360) 859-9592
Phone(360) 832-2222
Fax(360) 859-9592
Organization SubpartNo
Authorized OfficialMelissa BronoskePresident · (253) 677-4894
Enumeration DateJuly 21, 2022
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1962137125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
320 CENTER STREET EAST, Eatonville, WA 98328
Open in Google Maps ↗

Other Names 1

Doing Business AsEatonville Integrative Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2266829

Eatonville Integrative Medicine Ps · Eatonville, WA
Active · expires Apr 4, 2028
CLIA Number50D2266829
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMelissa Bronoske
Laboratory Phone(360) 832-2222
Laboratory LocationEatonville Integrative Medicine Ps320 Center St E Ste 2B, Eatonville, WA 98328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MELISSA BRONOSKE PA-C
Physician Assistant
320 CENTER STREET EAST
EATONVILLE, WA 98328
Pierce County (360) 832-2222
SARAH MARIE RASHOFF AP61501358
Nurse Practitioner
320 CENTER STREET EAST
EATONVILLE, WA 98328
Pierce County (360) 832-2222

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 Eatonville Integrative Medicine P.S.'s NPI number?

The NPI number for Eatonville Integrative Medicine P.S. is 1962137125. It was assigned to this organization in the NPPES registry on July 21, 2022. The provider is doing business as Eatonville Integrative Medicine.

Where is Eatonville Integrative Medicine P.S. located?

Eatonville Integrative Medicine P.S. is located at 320 Center Street East, Eatonville, WA 98328. The listed phone number is (360) 832-2222.

What is Eatonville Integrative Medicine P.S.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Eatonville Integrative Medicine P.S. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2266829) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eatonville Integrative Medicine P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Eatonville Integrative Medicine P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eatonville Integrative Medicine P.S. was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.