| NPI | 1174997423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LEE HEATH Owner 503-484-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR 174809) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: OR 3626) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: OR 3347) | |
| 171100000X Acupuncturist (Licence: OR AC161122) | |
| 363A00000X Physician Assistant (Licence: OR PA174721) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO19719) | |
| 175F00000X Naturopath (Licence: OR 4006) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-10-10 |