| NPI | 1184012585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI LYNN OTTERSTROM Registered Agent 541-688-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1162) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-06-04 |