Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | OR# 1543 | OR |
NPI | 1033314679 |
---|---|
Provider Name | Dr. Werner Vosloo |
First Address | Portland, OR 97224-5704 |
Second Address | Tigard, OR 97223-8359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 08/07/2007 |