| NPI | 1922497395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTE YATES Owner 360-448-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 2073) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC169326) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |