Jason Derico, N.D.
Naturopath in Beaverton, OR. Individual provider (NPI-1).
NPI number1265804652
StatusActive
Last updated in NPPESOct 23, 2015
Details
- NPI
- 1265804652
- Entity type
- Individual (NPI-1)
- Name
- Jason Derico
- Credential
- N.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2015
- Last updated
- Oct 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 3026 | OR | Yes |
Practice location
4757 Sw 141st AveBeaverton, OR 97005-3750
Phone 503-610-6924
Mailing address
4757 Sw 141st AveBeaverton, OR 97005-3750
Phone 435-764-7725
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