# NORTHWEST NATUROPATHIC MEDICAL CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932282100
- **Authorized official:** DR. STEPHANIE P WILSON ND (PRESIDENT)
- **Authorized official phone:** (541) 683-9357

## Contact information

- **Practice address:** 1755 COBURG RD, BLDG 6B, EUGENE, OR 97401
- **Practice address phone:** (541) 683-9357
- **Practice address fax:** (541) 683-3273
- **Mailing address:** 1755 COBURG RD, BLDG 6B, EUGENE, OR 97401
- **Mailing address phone:** (541) 683-9357
- **Mailing address fax:** (541) 683-3273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | — | OR | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 150703 | — | OR |