Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 2023 | OR |
NPI | 1144649039 |
---|---|
Provider Name | Dr. Teresa True |
First Address | Portland, OR 97213-3713 |
Second Address | Portland, OR 97205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2014 |
Last Update Date | 25/07/2019 |