Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4212 | OR |
NPI | 1003381195 |
---|---|
Provider Name | Dr. Darcie Leigh Juarez |
First Address | Portland, OR 97215-1982 |
Second Address | Portland, OR 97215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2018 |
Last Update Date | 08/02/2019 |