Organization Name: | GRESHAM NATUROPATHIC CLINIC, P.C. |
NPI Number: | 1326230517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARIS ANDREW CAMPBELL (OWNER) |
Mailing Address: | 1217 Ne Burnside Rd Suite 702 Gresham |
State: | OR US |
Postal Code: | 970306722 |
Phone Number: | 5034659799 |
Fax Number: | 5034892901 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |