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Organization
EAST BY NORTHWEST INTEGRATIVE MEDICINE
Active
Organization
EAST BY NORTHWEST INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALEA MACODRUM N.D. (OWNER, NATUROPATHIC PHYSICIAN)
(503) 754-5397
Entity
Organization
Contact information
Practice address
516 SE MORRISON ST, SUITE 207, PORTLAND, OR 97214-2327
(503) 239-1022
(503) 512-5850
Mailing address
3718 SE 33RD PL, PORTLAND, OR 97202-3056
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2071
OR
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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