Organization
ALIVE & WELL HEALING ARTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAIVATI BHARADVAJ ND (OWNER)
(503) 484-8647
Entity
Organization
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
12/30/2008
Last updated
12/30/2008
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