Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0632 | OR |
NPI | 1063664167 |
---|---|
Provider Name | Dr. Arlette K. Sieckman |
First Address | Lake Oswego, OR 97034-1542 |
Second Address | Lake Oswego, OR 97034-1542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 21/10/2008 |