First Star Natural Medicine | |
2161 Ne Broadway St Portland OR 97232-1512 | |
(503) 331-1800 | |
Not Available |
Full Name | First Star Natural Medicine |
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Speciality | Clinic/center - Primary Care |
Location | 2161 Ne Broadway St, Portland, Oregon |
Authorized Official Name and Position | Wahji Wijapi Kasten (DR.) |
Authorized Official Contact | 5032016565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Star Natural Medicine 2161 Ne Broadway St Portland OR 97232-1512 Ph: (503) 331-1800 | First Star Natural Medicine 2161 Ne Broadway St Portland OR 97232-1512 Ph: (503) 331-1800 |
NPI Number | 1437520871 |
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Provider Enumeration Date | 10/12/2015 |
Last Update Date | 10/12/2015 |
Identifier | Type | State | Issuer |
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1437520871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 3011 (Oregon) | Primary |
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