| |
1110 Se Alder St, 201, Portland, OR 97214-2400 | |
(503) 477-5051 | |
(503) 503-9542 |
Full Name | |
---|---|
Type | Facility |
Speciality | Naturopath |
Location | 1110 Se Alder St, Portland, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023431137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 155930 (Oregon) | Secondary |
175F00000X | Naturopath | 1869 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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1110 Se Alder St, 201, Portland, OR 97214-2400 Ph: (503) 477-5051 | 1110 Se Alder St, 201, Portland, OR 97214-2400 Ph: (503) 477-5051 |