Emily Gannaway, LLC
Naturopath in Beaverton, OR. Organization (NPI-2).
NPI number1114479250
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1114479250
- Entity type
- Organization (NPI-2)
- Legal business name
- Emily Gannaway, LLC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2016
- Last updated
- Oct 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 3092 | OR | Yes |
Practice location
17933 Nw Evergreen PkwySuite 285
Beaverton, OR 97006-7659
Phone 503-828-9265
Mailing address
1507 9th StApt 12
Oregon City, OR 97045-2073
Phone 201-213-2112
Authorized official
Emily Gannaway
Naturopathic Doctor/Pcp
2012132112
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