Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 1017 | CA |
Y | 175F00000X | Naturopath | 4234 | OR |
NPI | 1073098315 |
---|---|
Provider Name | Kyle Nathan Lapoint |
First Address | Hillsboro, OR 97123-7919 |
Second Address | Eugene, OR 97404-3242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2018 |
Last Update Date | 07/03/2019 |