Individual
ROXANNE HETTY AHMADPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, MS
Contact information
Practice address
1835 SE 50TH AVE, PORTLAND, OR 97215-3235
(971) 803-5643
Mailing address
1835 SE 50TH AVE, PORTLAND, OR 97215-3235
(971) 803-5643
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4265
OR
Other
Enumeration date
10/04/2019
Last updated
08/21/2024
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