| NPI | 1144683160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN VAITKUS Cmo 503-206-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1571) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC01094) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-03-28 |