Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1732 | OR |
NPI | 1003135088 |
---|---|
Provider Name | Erika Sigrist |
First Address | Gresham, OR 97030-3331 |
Second Address | Gresham, OR 97030-3331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2010 |
Last Update Date | 23/09/2016 |