NPI | 1174801005 |
---|---|
Former Legal Business Name | GARDEN PURE |
Entity Type | Organization |
Authorized Contact | CHRIS D MELETIS Naturopathic Physician 503-643-1024 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 0767) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |