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Organization
CORE VITALITY CLINIC
Active
Organization
CORE VITALITY CLINIC
Active
Other names
Grace Good Health NW
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA D. ROGERS ND (PRESIDENT)
(541) 602-0260
Entity
Organization
Contact information
Practice address
442 NW 4TH ST, SUITE 101, CORVALLIS, OR 97330-6491
(541) 602-0260
(541) 753-4217
Mailing address
442 NW 4TH ST, SUITE 101, CORVALLIS, OR 97330-6491
(541) 602-0260
(541) 753-4217
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2033
OR
175F00000X
Naturopath
2034
OR
Other
Enumeration date
03/12/2007
Last updated
04/30/2015
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