Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1858 | OR |
NPI | 1093090664 |
---|---|
Provider Name | Dr. Andrew Erlandsen |
First Address | Beaverton, OR 97006-5208 |
Second Address | Beaverton, OR 97006-5208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2011 |
Last Update Date | 14/10/2011 |