Passiflora Health, Llc

NPI 1225373426 - Naturopath - 175F00000X

NPI Details
NPI 1225373426
Enumeration Date 11/29/2012
Last Updated 11/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position OWNER
Phone (503) 546-7663
Fax (503) 231-3633
Practice Location
4031 SE HAWTHORNE BLVD
PORTLAND OR, 97214-5243, US
Phone (503) 546-7663
Fax (503) 231-3633
Business Location
4031 SE HAWTHORNE BLVD
PORTLAND OR, 97214-5243, US
Phone (503) 546-7663
Fax (503) 231-3633
Toxanomy
Taxonomy Code 175F00000X
License State Oregon
License Number OR1941
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According to our database, Passiflora Health, Llc NPI is 1225373426, taxonomy code is 175F00000X and license number is OR1941, license state is located at Oregon. Passiflora Health, Llc physically located at 4031 Se Hawthorne Blvd, Portland OR, 97214-5243. NPI Number 1033115704 has the healthcare provider type.

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1225373426 NPI number is provided on an as is basis without warranty of any kind. 1225373426 is maintained by the National Plan & Provider Enumeration System. The contents of Passiflora Health, Llc are for informational purposes only.