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General NPI Number Information
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NPI Number | 1881056604
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Entity Type | Organization
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Legal Business Name | OHANA HEALTH AND WELLNESS
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 2385 NW WESTOVER RD
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City | PORTLAND
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State | OR
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Zip | 97210-3524
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Country | US
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Telephone | 408-209-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 11735 NW HOLLY SPRINGS LN UNIT 104
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City | PORTLAND
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State | OR
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Zip | 97229-6483
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC PHYSICIAN
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Name | JENNIFER TUTTLE
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Credential | ND
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Telephone | 408-209-6986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1943
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License Number State | OR
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