Individual
DR. LORI VON DER HEYDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4445 NE FREMONT ST, PORTLAND, OR 97213-1153
(503) 249-7752
Mailing address
4445 NE FREMONT ST, PORTLAND, OR 97213-1153
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
828
OR
Other
Enumeration date
04/03/2007
Last updated
06/30/2014
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