MEDICARE: DR. SHERRY ARLENE LABECK 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	819	OR

General Provider Information

NPI Number	:	1982093977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRY ARLENE LABECK ND

Provider Business Mailing Address
First Line	:	7237 N VINCENT AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97217-5849
Country	:	US
Telephone Number	:	503-285-2919
Fax Number	:

Provider Business Practice Location Address
First Line	:	4640 SW MACADAM AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-4256
Country	:	US
Telephone Number	:	503-230-7990
Fax Number	:

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

Provider Enumeration Date	:	01/14/2015
Last Update Date	:	01/14/2015

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