| NPI | 1053679845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT JOHNSON Owner 503-292-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2022-10-11 |