Organization
NORTHWEST NATURAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE IAN BUTTLER N.D. (OWNER)
(503) 786-2181
Entity
Organization
Contact information
Practice address
2305 SE WASHINGTON ST, SUITE 104, MILWAUKIE, OR 97222-7647
(503) 786-2181
(503) 200-2259
Mailing address
2305 SE WASHINGTON STREET., SUITE 104, MILWAUKIE, OR 97222-7467
(503) 786-2181
(503) 200-2259
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1592
OR
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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