| NPI | 1285396275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOUISE SHAVER Owner 971-432-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |