| NPI | 1548436918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BLACK Owner/ Medical Director 503-883-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1269) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1263) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-07-31 |