| NPI | 1063987469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE BOSSERMAN Owner 503-880-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-04-03 |