Individual
KATHERYN NUCKOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
650 SW 3RD ST, CORVALLIS, OR 97333
(541) 602-0260
(541) 753-4217
Mailing address
9901 NE 86TH ST, VANCOUVER, WA 98662-2109
(602) 359-2893
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
14-1424
AZ
175F00000X
Naturopath
Primary
4086
OR
175F00000X
Naturopath
61288239
WA
Other
Enumeration date
04/16/2014
Last updated
09/30/2022
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