Healthcare Provider Details

I. General information

NPI: 1831845171
Provider Name (Legal Business Name): ATTIE M OBRIEN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S 3RD ST W
MISSOULA MT
59801-2524
US

IV. Provider business mailing address

206 S 3RD ST W
MISSOULA MT
59801-2524
US

V. Phone/Fax

Practice location:
  • Phone: 406-493-0075
  • Fax: 888-241-2059
Mailing address:
  • Phone: 406-493-0075
  • Fax: 888-241-2059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberAHC-NAT-LIC-131793
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: