Individual
MEREDITH AMELIA TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
3910 SE STARK ST, PORTLAND, OR 97214-2278
(503) 235-8655
Mailing address
1953 NE GARFIELD ST, CAMAS, WA 98607-1139
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4020
OR
Other
Enumeration date
10/04/2016
Last updated
10/05/2021
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