MEDICARE: DR. MIHAELA PEPEL MD, 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
1	175F00000X	Naturopath	1510	OR

General Provider Information

NPI Number	:	1700978178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIHAELA PEPEL MD, ND

Provider Business Mailing Address
First Line	:	15880 QUARRY RD
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-3336
Country	:	US
Telephone Number	:	503-232-3302
Fax Number	:

Provider Business Practice Location Address
First Line	:	15880 QUARRY RD
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-3336
Country	:	US
Telephone Number	:	503-232-3302
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/07/2011

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