Organization
SAMANTHA L BRODY ND, LAC, PC
Active
Other names
Evergreen Natural Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA L BRODY N. D., L. AC. (PRESIDENT)
(503) 977-0500
Entity
Organization
Contact information
Practice address
6610 SW CAPITOL HWY, PORTLAND, OR 97239-1944
(503) 977-0500
(503) 246-1309
Mailing address
6610 SW CAPITOL HWY, PORTLAND, OR 97239-1944
(500) 397-7050
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00586
OR
175F00000X
Naturopath
Primary
880
OR
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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