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Individual

DR. MARNIE LOOMIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
111 SW COLUMBIA ST STE 100, PORTLAND, OR 97201-5848
(503) 222-0551
(503) 224-9619
Mailing address
5225 JEAN RD APT 604, LAKE OSWEGO, OR 97035-7140
(503) 544-7044
(503) 445-9772

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1100
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12646084
CAQH
Enumeration date
01/31/2007
Last updated
09/04/2019
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