Healthcare Provider Details

I. General information

NPI: 1073616447
Provider Name (Legal Business Name): HOLLY L ZAPF ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2928 SE HAWTHORNE BLVD SUITE 106
PORTLAND OR
97214-4147
US

IV. Provider business mailing address

2928 SE HAWTHORNE BLVD SUITE 106
PORTLAND OR
97214-4147
US

V. Phone/Fax

Practice location:
  • Phone: 503-460-0630
  • Fax: 503-231-4003
Mailing address:
  • Phone: 503-460-0630
  • Fax: 503-231-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number912
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: