Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 2074 | OR |
NPI | 1124417274 |
---|---|
Provider Name | Alexander Amos Pinchot |
First Address | The Dalles, OR 97058-1147 |
Second Address | The Dalles, OR 97058-1147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2015 |
Last Update Date | 13/01/2015 |