Organization
WILD HEART NATURAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY RENEE JACKSON ND (NATUROPATHIC PHYSICIAN)
(503) 757-6686
Entity
Organization
Contact information
Practice address
5215 SW 62ND AVE, PORTLAND, OR 97221-1176
(503) 757-6686
Mailing address
5215 SW 62ND AVE, PORTLAND, OR 97221-1176
(503) 757-6686
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
12/26/2023
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