Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1175 | OR |
NPI | 1053477166 |
---|---|
Provider Name | Dr. Jane S Birchard |
First Address | Roseburg, OR 97470-3078 |
Second Address | Roseburg, OR 97470-3078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2007 |
Last Update Date | 08/07/2007 |