| NPI | 1477083616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN ELLEN REVOIR BENNETT Naturopathic Doctor 503-583-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 2062) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |