| NPI | 1659192037 |
|---|---|
| Doing Business As | MOUNTAIN AIR FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES HERIZA Owner 541-519-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |