Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1134735632 |
---|---|
Provider Name | Jenny Curto |
First Address | Portland, OR 97210-3400 |
Second Address | Portland, OR 97210-3400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2020 |
Last Update Date | 27/11/2020 |