| Northwest Naturopathic Oncology Llc | |
|
12354 Sw Winter Lake Dr Tigard OR 97223-4739 | |
| (607) 343-6465 | |
| Not Available |
| Full Name | Northwest Naturopathic Oncology Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 12354 Sw Winter Lake Dr, Tigard, Oregon |
| Authorized Official Name and Position | Eliot Wesley Edwards (NATUROPATHIC PHYSICIAN/OWNER) |
| Authorized Official Contact | 6073436465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Naturopathic Oncology Llc 12354 Sw Winter Lake Dr Tigard OR 97223-4739 Ph: (607) 343-6465 | Northwest Naturopathic Oncology Llc 12354 Sw Winter Lake Dr Tigard OR 97223-4739 Ph: (607) 343-6465 |
| NPI Number | 1922731991 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922731991 | NPI | - | NPPES |
| 4049 | Other | OR | OREGON NATUROPATHIC PHYSICIAN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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