Organization
EVERGREEN NATUROPATHIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI FOREST N.D. (OWNER)
(971) 313-2752
Entity
Organization
Contact information
Practice address
3689 CARMAN DR STE 300, LAKE OSWEGO, OR 97035-2620
(971) 313-2752
Mailing address
3689 CARMAN DR STE 300, LAKE OSWEGO, OR 97035-2620
(971) 313-2752
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1186R
OR
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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