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Individual

KATHERINE LANE STILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
501 N GRAHAM ST STE 550, PORTLAND, OR 97227-2010
(503) 284-5220
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
OR
175F00000X
Naturopath

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500769776
OR
Enumeration date
10/08/2018
Last updated
10/21/2019
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