Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 3097 | OR |
NPI | 1073966974 |
---|---|
Provider Name | Dr. Linne Tiffany Linder |
First Address | Portland, OR 97209-2151 |
Second Address | Portland, OR 97209-2151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2016 |
Last Update Date | 15/07/2016 |