| NPI | 1457692444 |
|---|---|
| Doing Business As | MEDIPRO HOLISTIC HEALTH |
| Entity Type | Organization |
| Authorized Contact | KELLY KYSER Office Manager 503-828-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 133N00000X Nutritionist | |
| 171100000X Acupuncturist | |
| 175F00000X Naturopath (Licence: OR 1430) | |
| 175F00000X Naturopath | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2022-10-26 |