Sprouting Nutrition, LLC
Naturopath in Gresham, OR. Organization (NPI-2).
NPI number1467045211
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1467045211
- Entity type
- Organization (NPI-2)
- Legal business name
- Sprouting Nutrition, LLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2021
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | – | – | Yes |
Other names
- Sprouting Health & Wellness (Doing Business As)
Practice location
1300 Ne Linden Ave Ste 6Gresham, OR 97030-3956
Phone 971-358-1246 · Fax 971-358-1247
Mailing address
Po Box 2144Fairview, OR 97024-1817
Authorized official
Verenis Estrada
Owner
9713581246
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