Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4047 | OR |
NPI | 1083147532 |
---|---|
Provider Name | Dr. Renee Rosenfeld |
First Address | Portland, OR 97214-1622 |
Second Address | Portland, OR 97214-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2017 |
Last Update Date | 11/04/2017 |