Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1912 | OR |
NPI | 1073865739 |
---|---|
Provider Name | Leslie Hamlett |
First Address | Portland, OR 97225-3700 |
Second Address | Portland, OR 97225-3700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |