Healthcare Provider Details

I. General information

NPI: 1457524753
Provider Name (Legal Business Name): DANDELION NATUROPATHIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 SW SCHOLLS FERRY RD., STE 108
PORTLAND OR
97225
US

IV. Provider business mailing address

4850 SW SCHOLLS FERRY RD., STE 108
PORTLAND OR
97225
US

V. Phone/Fax

Practice location:
  • Phone: 503-206-5043
  • Fax: 503-206-5369
Mailing address:
  • Phone: 503-206-5043
  • Fax: 503-206-5369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1197
License Number StateOR

VIII. Authorized Official

Name: DR. KATHRYN A. SAWHILL
Title or Position: PRESIDENT, OWNER, CMO
Credential: N.D.
Phone: 503-206-5043