Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 3055 | OR |
NPI | 1023484573 |
---|---|
Provider Name | Heather Friedman |
First Address | Portland, OR 97218-3230 |
Second Address | Portland, OR 97232-1512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 12/10/2015 |