Organization · NPI-2

Katherine Zieman

Naturopath · Gresham, OR

NPI number1194175638
StatusActive
Last updated in NPPESJun 15, 2016

Details

NPI
1194175638
Entity type
Organization (NPI-2)
Legal business name
Katherine Zieman
Organization subpart
No
Enumeration date
Jun 15, 2016
Last updated
Jun 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath0799ORYes

Practice location

22400 Se Stark St
Suite 105
Gresham, OR 97030-2656

Phone 503-492-1221 · Fax 503-907-0098

Mailing address

22400 Se Stark St
Suite 105
Gresham, OR 97030-2656

Phone 503-492-1221 · Fax 503-907-0098

Authorized official

Katherine Ann Zieman
Owner
5037846203

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