Individual
DR. MEGHAN ELLEN REVOIR BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
330 SE 3RD STREET, TROUTDALE, OR 97060
(503) 863-4451
(503) 419-6202
Mailing address
3340 SE MORRISON ST, APT. 328, PORTLAND, OR 97214-3191
(503) 863-4451
(503) 419-6202
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2062
OR
Other
Enumeration date
10/13/2014
Last updated
03/16/2016
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