Individual
DAIVATI BHARADVAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
9900 SW WILSHIRE ST # 190 D, PORTLAND, OR 97225-5035
(503) 484-8647
(503) 297-3827
Mailing address
9900 SW WILSHIRE ST # 190 D, PORTLAND, OR 97225-5035
(503) 484-8647
(503) 297-3827
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1297
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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