Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4245 | OR |
NPI | 1043858392 |
---|---|
Provider Name | Dr. Julie Aguiar |
First Address | The Dalles, OR 97058-2718 |
Second Address | Portland, OR 97209-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2019 |
Last Update Date | 17/12/2019 |