Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1812 | OR |
NPI | 1013212380 |
---|---|
Provider Name | Dr. Anorah Charlene Schostag |
First Address | Portland, OR 97202-7023 |
Second Address | Portland, OR 97202-7023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2011 |
Last Update Date | 18/01/2011 |