Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4148 | OR |
NPI | 1093211914 |
---|---|
Provider Name | Dana Cone Schmidt |
First Address | Portland, OR 97206-3700 |
Second Address | Portland, OR 97206-3700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2018 |
Last Update Date | 30/03/2018 |