SAMANTHA L BRODY ND, LAC, PC

PORTLAND, OR
NPI1912171273
Doing Business AsEVERGREEN NATURAL HEALTH CENTER
Entity TypeOrganization
Authorized ContactSAMANTHA L BRODY
President
503-977-0500
Organization Subpart ?No
Primary Taxonomy175F00000X Naturopath
(Licence: OR  880)
Additional Taxonomies171100000X Acupuncturist
(Licence: OR  AC00586)
Enumeration Date2008-04-17
Last Update Date2008-04-17
Business Address
SAMANTHA L BRODY ND, LAC, PC
6610 SW CAPITOL HWY
PORTLAND, OR 97239-1944
Phone number: 503-977-0500
Mailing Address
SAMANTHA L BRODY ND, LAC, PC
6610 SW CAPITOL HWY
PORTLAND, OR 97239-1944
Phone number: 500-397-7050