NPI | 1922266675 |
---|---|
Former Legal Business Name | ALDER FAMILY MEDICINE |
Former Legal Business Name | RISING TIDE MEDICINE |
Entity Type | Organization |
Authorized Contact | ANNE HILL Owner 503-282-1070 |
Organization Subpart ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1317) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2020-09-14 |