Organization · NPI-2
Crataegus Family Medicine
Naturopath · Topsham, ME
NPI number1467239582
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1467239582
- Entity type
- Organization (NPI-2)
- Legal business name
- Crataegus Family Medicine
- Organization subpart
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | – | – | Yes |
Practice location
53 Main StTopsham, ME 04086-1234
Phone 603-489-3284
Mailing address
84 Carleton St Apt 14Portland, ME 04102-3347
Phone 603-489-3284
Authorized official
Tara E O'Brien
Owner
6034893284
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