Organization
THRITA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE PEFFERMAN (BUSINESS OWNER)
(503) 235-4325
Entity
Organization
Contact information
Practice address
7825 SW 35TH AVE, PORTLAND, OR 97219-2463
(503) 235-4325
Mailing address
7825 SW 35TH AVE, PORTLAND, OR 97219-2463
(503) 235-4325
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1611
OR
171100000X
Acupuncturist
07-997
AZ
173C00000X
Reflexologist
07-997
AZ
175F00000X
Naturopath
Primary
07-997
AZ
175L00000X
Homeopath
1611
OR
Other
Enumeration date
10/13/2008
Last updated
10/30/2009
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