Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 2058 | OR |
NPI | 1073917639 |
---|---|
Provider Name | Ruth Hobson |
First Address | Portland, OR 97211-3214 |
Second Address | Portland, OR 97211-3214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17200000X | (05) | OR |