| NPI | 1780124412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE CARTER Director 503-459-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OR 1875) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR ac174171) |
| 175F00000X Naturopath (Licence: OR 1875) | |
| 175F00000X Naturopath (Licence: OR 3085) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |