Dr. Judy E Peabody
Homeopath Naturopath
4085 Sw 109th Ave Ste 200
Beaverton
, Oregon 97005-3000
Dr. Judy E Peabody
Homeopath Naturopath
4085 Sw 109th Ave Ste 200
Beaverton
, Oregon 97005-3000
(503) 643-1024
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About
Features
Specialties
- Naturopath
- Homeopath
Languages spoken
- English
Location
First Address
- Dr. Judy E Peabody
- 4085 Sw 109th Ave Ste 200
- Beaverton, OR
- Zip : 97005-3000
- Phone : (503) 643-1024
Second Address
- Dr. Judy E Peabody
- 4085 Sw 109th Ave Ste 200
- Beaverton, OR
- Zip : 97005-3000
- Phone : (503) 643-1024
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 175F00000X | Naturopath | 704 | OR |
| N | 175L00000X | Homeopath | 704 | OR |
National Provider Identifier
| NPI | 1164593638 |
|---|---|
| Provider Name | Dr. Judy E Peabody |
| First Address | Beaverton, OR 97005-3000 |
| Second Address | Beaverton, OR 97005-3000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 022553 | OREGON MEDICAL ASSISTANCE (01) | OR |
| BP6912996 | DEA (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.