Organization · NPI-2
Marlena Kurtz LLC
Naturopath · Gresham, OR
NPI number1700432879
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1700432879
- Entity type
- Organization (NPI-2)
- Legal business name
- Marlena Kurtz LLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2019
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | – | – | Yes |
Practice location
500 Nw 20th St Ste 101Gresham, OR 97030-2442
Phone 503-665-2344
Mailing address
500 Nw 20th St Ste 101Gresham, OR 97030-2442
Phone 503-489-5917
Authorized official
Marlena Kennedy
Owner
5034895917
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