Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 3089 | OR |
NPI | 1023463270 |
---|---|
Provider Name | Christa Michelle Barton |
First Address | Portland, OR 97202-1288 |
Second Address | Portland, OR 97202-1288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 25/04/2016 |