Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 18947 | OR |
NPI | 1740647411 |
---|---|
Provider Name | Anne Power |
First Address | Bend, OR 97708 |
Second Address | Bend, OR 97701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2016 |
Last Update Date | 26/01/2016 |