| NPI | 1578819900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI CLARK Owner 503-646-0697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |