Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1724 | OR |
NPI | 1144551904 |
---|---|
Provider Name | Dr. Kathryn Mary Mercer |
First Address | Redmond, OR 97756-3120 |
Second Address | Redmond, OR 97756-3120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2010 |
Last Update Date | 19/01/2010 |