Organization
SANCTUARY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETRA CARUSO N.D. (OWNER/ PRESIDENT)
(503) 415-1158
Entity
Organization
Contact information
Practice address
7219 SE YAMHILL ST, PORTLAND, OR 97215
(503) 415-1158
(503) 334-0891
Mailing address
7219 SE YAMHILL ST, PORTLAND, OR 97215
(503) 415-1158
(503) 334-0891
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1521
OR
Other
Enumeration date
07/10/2007
Last updated
06/30/2020
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