Healthcare Provider Details

I. General information

NPI: 1023057635
Provider Name (Legal Business Name): MAUREEN ELIZABETH O'CONNOR N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAUREEN O'CONNOR BARNHART N.D.

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 NE PARK PLAZA DR STE 212
VANCOUVER WA
98684-5871
US

IV. Provider business mailing address

201 NE PARK PLAZA DR STE 212
VANCOUVER WA
98684-5871
US

V. Phone/Fax

Practice location:
  • Phone: 360-885-0989
  • Fax:
Mailing address:
  • Phone: 360-885-0989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number873
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001106
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: