Organization
DOCERE NATUROPATHIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIYA SULAKOV ND (MEMBER)
(503) 489-5917
Entity
Organization
Contact information
Practice address
500 NW 20TH ST, GRESHAM, OR 97030-2441
(503) 489-5917
Mailing address
4850 SW 11TH ST APT 133, GRESHAM, OR 97080-7314
(503) 929-5481
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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