Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northwest Functional Nutrition, LLC

Organization Clinic/Center · NPI 1760022156

Northwest Functional Nutrition, LLC is a Clinic/Center in Bothell, Washington. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000
Phone: (425) 588-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16818 140th Ave Ne, Woodinville, WA 98072-9001 — (425) 588-0480

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1760022156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikki Gepner — Owner · (425) 588-0480
NPI enumeratedJanuary 14, 2020
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing addressPo Box 821092, Kenmore, WA 98028-0999

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