Individual
KAI BICKNELL HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
8113 SE 13TH AVE, PORTLAND, OR 97202-6607
(503) 232-5653
(503) 234-6094
Mailing address
8113 SE 13TH AVE, PORTLAND, OR 97202-6607
(503) 232-5653
(503) 234-6094
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1919
OR
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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