| NPI | 1902685746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY MARISSA LAING Owner 503-593-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |