Organization
NORTHWEST NATUROPATHIC ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIOT WESLEY EDWARDS ND (NATUROPATHIC PHYSICIAN/OWNER)
(607) 343-6465
Entity
Organization
Contact information
Practice address
12354 SW WINTER LAKE DR, TIGARD, OR 97223-4739
(607) 343-6465
Mailing address
12354 SW WINTER LAKE DR, TIGARD, OR 97223-4739
(607) 343-6465
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4049
OREGON NATUROPATHIC PHYSICIAN LICENSE NUMBER
OR
Enumeration date
07/06/2022
Last updated
07/06/2022
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