Mariya Sulakov, ND
Naturopath in Gresham, OR. Individual provider (NPI-1).
NPI number1447893748
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1447893748
- Entity type
- Individual (NPI-1)
- Name
- Mariya Sulakov
- Credential
- ND
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2019
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 4264 | OR | Yes |
Practice location
25500 Se Stark StSt 202
Gresham, OR 97030-2441
Phone 503-489-5917
Mailing address
25500 Se Stark StSt 202
Gresham, OR 97030-3331
Phone 503-489-5917 · Fax 503-489-9210
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All 27 Naturopath providers in Gresham · All 2,430 providers in Gresham
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