| NPI | 1508033994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P HYATT Owner/Operator 503-476-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1539) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |