Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4409 | OR |
NPI | 1073284626 |
---|---|
Provider Name | Julie Anne Rhodes |
First Address | Tualatin, OR 97062-2381 |
Second Address | Portland, OR 97210-3400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2021 |
Last Update Date | 27/09/2021 |