Organization
CORE VITALITY CLINIC
Active
Other names
Grace Good Health NW
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA D. ROGERS ND (PRESIDENT)
(541) 602-0260
Entity
Organization
Contact information
Practice address
442 NW 4TH ST, SUITE 101, CORVALLIS, OR 97330-6491
(541) 602-0260
(541) 753-4217
Mailing address
442 NW 4TH ST, SUITE 101, CORVALLIS, OR 97330-6491
(541) 602-0260
(541) 753-4217
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
2033
OR
175F00000X
Naturopath
2034
OR
Other
Enumeration date
03/12/2007
Last updated
04/30/2015
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