Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0772 | OR |
NPI | 1023322096 |
---|---|
Provider Name | William P Mehan |
First Address | Boring, OR 97009-9407 |
Second Address | Boring, OR 97009-9407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2010 |
Last Update Date | 03/08/2010 |