Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0896 | OR |
NPI | 1154463248 |
---|---|
Provider Name | Louise Tolzmann |
First Address | Portland, OR 97227-1164 |
Second Address | Portland, OR 97227-1164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 16/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
240090 | (05) | OR |