Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1687 | OR |
NPI | 1083949473 |
---|---|
Provider Name | Dr. Jennifer Karon |
First Address | Portland, OR 97219-7138 |
Second Address | Tigard, OR 97223-8665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2009 |
Last Update Date | 18/06/2020 |