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Organization

NORTHWEST HEALTH SPECIALTIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA MORTLOCK ND, LAC (MANAGER, MEMBER)
(541) 791-6052
Entity
Organization

Contact information

Practice address
16703 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-4300
(541) 791-6052
(360) 841-7672
Mailing address
7121 SW 29TH AVE, PORTLAND, OR 97219-1907
(541) 791-6052
(360) 841-7672

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC60416884
WA
171100000X
Acupuncturist
AC60603307
WA
175F00000X
Naturopath
Primary
NT60416820
WA
175F00000X
Naturopath
NT60624606
WA

Other

Enumeration date
06/03/2016
Last updated
06/03/2016
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