Individual
DR. ALISA ILLO NOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
936 SE ANKENY ST, PORTLAND, OR 97214-1300
(503) 232-3215
(866) 304-0330
Mailing address
936 SE ANKENY ST, PORTLAND, OR 97214-1300
(503) 232-3215
(866) 304-0330
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
OR
Other
Enumeration date
09/15/2021
Last updated
05/21/2026
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