Individual
DR. KALLI SUSANNAH HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4850 NE 40TH AVE, PORTLAND, OR 97211-8137
(503) 358-5203
Mailing address
4850 NE 40TH AVE, PORTLAND, OR 97211-8137
(503) 358-5203
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1098
OR
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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