Organization
MARNIE LOOMIS ND
Active
Other names
Evergreen Natural Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNIE LOOMIS N.D. (OWNER)
(503) 591-8855
Entity
Organization
Contact information
Practice address
3835 SW 185TH AVE, SUITE 200, ALOHA, OR 97007-1502
(503) 591-8855
(503) 591-1595
Mailing address
3835 SW 185TH AVE, SUITE 200, ALOHA, OR 97007-1502
(503) 591-8855
(503) 591-1595
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182418
—
OR
Enumeration date
01/31/2007
Last updated
08/22/2020
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