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NPI Code Detail

MEDICARE: DR. MATTHEW S ZORN ND

MEDICARE: DR. MATTHEW S ZORN 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
1175F00000XNaturopath1241OR

General Provider Information

NPI Number : 1851429708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW S ZORN ND
Provider Business Mailing Address
First Line : 5010 SE 30TH AVE
Second Line : APT 83
City : PORTLAND
State : OR
Zip : 97202-4570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2232 NW PETTYGROVE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97210-2608
Country : US
Telephone Number : 503-552-1552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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