Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 3091 | OR |
N | 175L00000X | Homeopath |
NPI | 1508220732 |
---|---|
Provider Name | Oshin Minassian Worthington |
First Address | Portland, OR 97217-6830 |
Second Address | Portland, OR 97217-6830 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 09/12/2017 |