| NPI | 1063088128 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ERICHA CLARE Clinician 503-709-4237  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 175F00000X Naturopath | 
| Additional Taxonomies | 171100000X Acupuncturist | 
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2021-05-31 | 
| Last Update Date | 2021-05-31 |