Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1419 | OR |
NPI | 1114124823 |
---|---|
Provider Name | Dr. Carlotta F Watson |
First Address | Beaverton, OR 97005-3028 |
Second Address | Beaverton, OR 97005-3028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 08/07/2007 |