Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 708 | WA |
NPI | 1114023348 |
---|---|
Provider Name | Mrs. Heather Gay Boyd Roberts |
First Address | Vancouver, WA 98665 |
Second Address | Vancouver, WA 98665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |