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Organization
IN HEALTH NATUROPATHIC MEDICINE
Active
Organization
IN HEALTH NATUROPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL L HANNAN ND (PHYSICIAN/OWNER)
(503) 357-3074
Entity
Organization
Contact information
Practice address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-3074
(503) 357-2527
Mailing address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-3074
(503) 357-2527
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1398
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396816542
NPI TYPE 1
OR
Enumeration date
12/30/2011
Last updated
12/30/2011
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