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Individual

ALYSSA JEANNE BURNHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1106 SE 13TH AVE APT 105, PORTLAND, OR 97214-3689
(920) 680-8990
Mailing address
1106 SE 13TH AVE APT 105, PORTLAND, OR 97214-3689
(920) 680-8990

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary

Other

Enumeration date
02/05/2019
Last updated
02/05/2019
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