| |
7150 Sw Hampton St Ste 113, Tigard, OR 97223-8365 | |
(971) 344-6101 | |
(503) 961-7991 |
Full Name | |
---|---|
Type | Facility |
Speciality | Naturopath |
Location | 7150 Sw Hampton St Ste 113, Tigard, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578968855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AC164692 (Oregon) | Secondary |
175F00000X | Naturopath | 1981 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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7150 Sw Hampton St Ste 113, Tigard, OR 97223-8365 Ph: () - | 7150 Sw Hampton St Ste 113, Tigard, OR 97223-8365 Ph: (971) 344-6101 |