Healthcare Provider Details

I. General information

NPI: 1295044691
Provider Name (Legal Business Name): ANDREW MURISON ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2010
Last Update Date: 07/15/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2636 ALMADEN ST
EUGENE OR
97405-1823
US

IV. Provider business mailing address

2636 ALMADEN ST
EUGENE OR
97405-1823
US

V. Phone/Fax

Practice location:
  • Phone: 503-505-2560
  • Fax:
Mailing address:
  • Phone: 503-505-2560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1763
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: