| NPI | 1407190952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI CLARK Nd, L Ac 503-277-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1881) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3156) |
| 171100000X Acupuncturist (Licence: OR AC156029) | |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2012-11-23 |