Individual
DR. HAROLD J MADERAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
9925 SW NIMBUS AVE, SUITE 100, BEAVERTON, OR 97008-7387
(503) 358-1013
Mailing address
PO BOX 22914, MILWAUKIE, OR 97269-2914
(503) 358-1013
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1104
OR
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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