Dr. Kristin Ilyssa Wing
Naturopath
5819 N Greeley Ave Ste 101
Portland
, Oregon 97217-4159
Dr. Kristin Ilyssa Wing
Naturopath
5819 N Greeley Ave Ste 101
Portland
, Oregon 97217-4159
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Kristin Ilyssa Wing
- 5819 N Greeley Ave Ste 101
- Portland, OR
- Zip : 97217-4159
- Phone :
Second Address
- Dr. Kristin Ilyssa Wing
- 5819 N Greeley Ave Ste 101
- Portland, OR
- Zip : 97217-4159
- Phone : (503) 278-3385
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Is Dr. Kristin Ilyssa Wing a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 4124 | OR |
National Provider Identifier
| NPI | 1063922318 |
|---|---|
| Provider Name | Dr. Kristin Ilyssa Wing |
| First Address | Portland, OR 97217-4159 |
| Second Address | Portland, OR 97217-4159 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2017 |
| Last Update Date | 13/12/2017 |
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.