Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1136 | OR |
NPI | 1093917056 |
---|---|
Provider Name | Cari Anna Nyland |
First Address | Portland, OR 97202-1273 |
Second Address | Portland, OR 97202-1273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |