Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1709 | OR |
NPI | 1134456387 |
---|---|
Provider Name | Robyn Marie Kutka |
First Address | Aloha, OR 97007-3081 |
Second Address | Aloha, OR 97007-3081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2009 |
Last Update Date | 09/11/2009 |