| NPI | 1902041965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JACKSON Naturopathic Doctor 503-230-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OR 1631) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |