Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 822 | OR |
N | 176B00000X | Midwife | 58 | OR |
NPI | 1003931361 |
---|---|
Provider Name | Dr. Phyllis Gega Rapport |
First Address | Portland, OR 97219-3663 |
Second Address | Portland, OR 97219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
071063 | (05) | OR |