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NPI Code Detail

MEDICARE: ARVIN GHANEVATI ND

MEDICARE: ARVIN GHANEVATI ND
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
1175F00000XNaturopath

General Provider Information

NPI Number : 1639914799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARVIN GHANEVATI ND
Provider Business Mailing Address
First Line : 4103B SE MAIN ST UNIT B
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4431
Country : US
Telephone Number : 949-680-8472
Fax Number :
Provider Business Practice Location Address
First Line : 7886 SE 13TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6300
Country : US
Telephone Number : 503-956-9396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 06/28/2024

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Directions to “ ARVIN GHANEVATI ND” Practice Location

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