Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1639 | OR |
NPI | 1063748903 |
---|---|
Provider Name | Dr. Christina S. Winkelman |
First Address | Portland, OR 97219-4072 |
Second Address | Portland, OR 97219-4072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2009 |
Last Update Date | 28/10/2009 |