Individual
JESSICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
5440 SW WESTGATE DR, SUITE 245, PORTLAND, OR 97221-2420
(503) 477-7915
Mailing address
5440 SW WESTGATE DR, SUITE 245, PORTLAND, OR 97221-2420
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1946
OR
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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