Organization · NPI-2

A Body Of Wisdom Natural Family Medicine, LLC

Naturopath · Gresham, OR

NPI number1073736435
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1073736435
Entity type
Organization (NPI-2)
Legal business name
A Body Of Wisdom Natural Family Medicine, LLC
Organization subpart
No
Enumeration date
Apr 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath1079ORYes

Practice location

119 Ne 3rd St
Gresham, OR 97030-7403

Phone 503-665-9111 · Fax 503-665-0110

Mailing address

119 Ne 3rd St
Gresham, OR 97030-7403

Phone 503-665-9111 · Fax 503-665-0110

Authorized official

Rose Martin
Owner
5036659111

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