Organization
AWAKEN NATURAL MEDICINE INC
Active
Other names
Awaken Natural Medicine Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY SUE GUTIERREZ ND RPH (NATUROPATHIC PHYSICIAN)
(503) 422-6913
Entity
Organization
Contact information
Practice address
505 NW 9TH AVE, PORTLAND, OR 97209-3578
(503) 422-6913
(888) 511-7659
Mailing address
505 NW 9TH AVE, PORTLAND, OR 97209-3578
(503) 422-6913
(888) 511-7659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500721816
—
OR
Enumeration date
03/11/2020
Last updated
03/11/2020
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