Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1525 | OR |
NPI | 1013170810 |
---|---|
Provider Name | Tania Neubauer |
First Address | Cornelius, OR 97113-0568 |
Second Address | Cornelius, OR 97113-8900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 03/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500649266 | (05) | OR |