Bruce Dickson Nd LLC
Naturopath in McMinnville, OR. Organization (NPI-2).
NPI number1205102811
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1205102811
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruce Dickson Nd LLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2012
- Last updated
- Mar 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 469 | OR | Yes |
Practice location
119 Ne 3rd StMcMinnville, OR 97128-4901
Phone 503-434-6515 · Fax 503-472-5723
Mailing address
119 Ne 3rd StMcMinnville, OR 97128-4901
Phone 503-434-6515 · Fax 503-472-5723
Authorized official
Bruce A Dickson
Ceo
5034346515
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