Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0744 | OR |
NPI | 1033380282 |
---|---|
Provider Name | Rick V Hovgaard |
First Address | Portland, OR 97219 |
Second Address | Portland, OR 97219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2008 |
Last Update Date | 17/03/2008 |