Individual
ELIZABETH LOUISE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1925 NE HALSEY ST, PORTLAND, OR 97232-1518
(312) 878-7708
Mailing address
1925 NE HALSEY ST, PORTLAND, OR 97232-1518
(847) 529-2950
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4218
OR
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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