| NPI | 1942645346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN WASSON Billing Manager 503-526-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 696) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR 95) |
| 175F00000X Naturopath (Licence: OR 753) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |