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NPI Code Detail

MEDICARE: NATASHA ELIZABETH MCDOUGAL ND

MEDICARE: NATASHA ELIZABETH MCDOUGAL ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath4418OR

General Provider Information

NPI Number : 1588336416
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA ELIZABETH MCDOUGAL ND
Provider Business Mailing Address
First Line : 14948 NE ROSE PKWY
Second Line :
City : PORTLAND
State : OR
Zip : 97230-4521
Country : US
Telephone Number : 971-285-0120
Fax Number :
Provider Business Practice Location Address
First Line : 7477 SE 52ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-8206
Country : US
Telephone Number : 503-388-6408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/30/2021

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Directions to “ NATASHA ELIZABETH MCDOUGAL ND” Practice Location

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