Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4157 | OR |
NPI | 1073010880 |
---|---|
Provider Name | Dr. Anton Lynn Alder |
First Address | Hermiston, OR 97838-6854 |
Second Address | Hermiston, OR 97838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2018 |
Last Update Date | 26/05/2018 |