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Organization
WILD HEART NATURAL MEDICINE LLC
Active
Organization
WILD HEART NATURAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY RENEE JACKSON ND (NATUROPATHIC PHYSICIAN)
(503) 757-6686
Entity
Organization
Contact information
Practice address
5215 SW 62ND AVE, PORTLAND, OR 97221-1176
(503) 757-6686
Mailing address
5215 SW 62ND AVE, PORTLAND, OR 97221-1176
(503) 757-6686
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
12/26/2023
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