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Organization

EAST BY NORTHWEST INTEGRATIVE MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALEA MACODRUM N.D. (OWNER, NATUROPATHIC PHYSICIAN)
(503) 754-5397
Entity
Organization

Contact information

Practice address
516 SE MORRISON ST, SUITE 207, PORTLAND, OR 97214-2327
(503) 239-1022
(503) 512-5850
Mailing address
3718 SE 33RD PL, PORTLAND, OR 97202-3056

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2071
OR

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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