Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1574 | OR |
NPI | 1053590166 |
---|---|
Provider Name | Augusta Birkins Swift |
First Address | Portland, OR 97213-2326 |
Second Address | Portland, OR 97202-3804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2007 |
Last Update Date | 25/10/2007 |