Organization
CORVALLIS NATURAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH NIXDORF ND, LAC (OWNER/PRESIDENT)
(541) 754-2225
Entity
Organization
Contact information
Practice address
999 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
(541) 754-2225
Mailing address
999 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01019
OR
175F00000X
Naturopath
Primary
1514
OR
Other
Enumeration date
07/26/2010
Last updated
05/19/2011
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