| |
516 Se Morrison St, Suite 207, Portland, OR 97214-2327 | |
(503) 239-1022 | |
(503) 512-5850 |
Full Name | |
---|---|
Type | Facility |
Speciality | Naturopath |
Location | 516 Se Morrison St, Portland, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669845665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC173647 (Oregon) | Secondary |
175F00000X | Naturopath | 3051 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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516 Se Morrison St, Suite 207, Portland, OR 97214-2327 Ph: (503) 239-1022 | 516 Se Morrison St, Suite 207, Portland, OR 97214-2327 Ph: (503) 239-1022 |