Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1686 | OR |
NPI | 1043549793 |
---|---|
Provider Name | Dr. Orna Izakson |
First Address | Portland, OR 97211-6336 |
Second Address | Portland, OR 97211-6336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |