| |
231 N Hemlock St, Suite 106, Cannon Beach, OR 97110-1465 | |
(503) 436-0335 | |
(503) 436-0604 |
Full Name | |
---|---|
Type | Facility |
Speciality | Naturopath |
Location | 231 N Hemlock St, Cannon Beach, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043489826 | NPI | - | NPPES |
1063489508 | Other | OR | NPI |
1497933592 | Other | OR | NPI |
AC01274 | Other | OR | AMA |
218639 | Medicaid | OR | |
182758 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3315 (Oregon) | Secondary |
175F00000X | Naturopath | 1590 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1465, Cannon Beach, OR 97110-1465 Ph: (503) 436-0335 | 231 N Hemlock St, Suite 106, Cannon Beach, OR 97110-1465 Ph: (503) 436-0335 |