| NPI | 1467625889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C WILSON Owner 503-648-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 546) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OR 546) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |