Individual
DR. CAROLYN IACULLO NYGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D
Contact information
Practice address
757 W MARINE DR STE 103, ASTORIA, OR 97103-5848
(207) 209-4858
(207) 405-2199
Mailing address
757 W MARINE DR STE 103, ASTORIA, OR 97103-5848
(207) 209-4858
(207) 405-2199
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1717
OR
175F00000X
Naturopath
ND1546
CA
175F00000X
Naturopath
NP839
ME
207Q00000X
Family Medicine Physician
1717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500642404
—
OR
Enumeration date
01/13/2010
Last updated
04/21/2026
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