Individual
MARIYA SULAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
25500 SE STARK ST, ST 202, GRESHAM, OR 97030-2441
(503) 489-5917
Mailing address
25500 SE STARK ST, ST 202, GRESHAM, OR 97030-3331
(503) 489-5917
(503) 489-9210
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4264
OR
Other
Enumeration date
10/20/2019
Last updated
12/13/2022
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