Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1829 | OR |
NPI | 1003199878 |
---|---|
Provider Name | Nathan Horek |
First Address | Portland, OR 97209-1402 |
Second Address | Portland, OR 97209-1402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2011 |
Last Update Date | 27/09/2011 |