Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1891 | OR |
NPI | 1033242813 |
---|---|
Provider Name | Dr. Tucker S Meager |
First Address | Portland, OR 97215-3930 |
Second Address | Portland, OR 97215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 15/07/2019 |