MEDICARE: DR. AUBREY LYNN HARDING N.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	3012	OR

General Provider Information

NPI Number	:	1487024998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUBREY LYNN HARDING N.D.

Provider Business Mailing Address
First Line	:	1174 CORNUCOPIA ST NW STE 240
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97304-3193
Country	:	US
Telephone Number	:	971-301-4411
Fax Number	:	971-999-7006

Provider Business Practice Location Address
First Line	:	1174 CORNUCOPIA ST NW STE 240
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97304-3193
Country	:	US
Telephone Number	:	971-301-4411
Fax Number	:	971-999-7006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2015
Last Update Date	:	12/16/2018

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