Organization
NANISE AZEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKOTA SCOTT ND (OWNER)
(928) 255-7451
Entity
Organization
Contact information
Practice address
5885 S MACADAM AVE APT 2213, PORTLAND, OR 97239-3794
(928) 255-7451
Mailing address
5885 S MACADAM AVE APT 2213, PORTLAND, OR 97239-3794
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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