Provider Demographics
NPI:1003033630
Name:AZCARATE-FERBEL, ADRIANA CAROLINA (NATUROPATHIC DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:CAROLINA
Last Name:AZCARATE-FERBEL
Suffix:
Gender:F
Credentials:NATUROPATHIC DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8512 SE 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6915
Mailing Address - Country:US
Mailing Address - Phone:503-230-0458
Mailing Address - Fax:503-230-0458
Practice Address - Street 1:8512 SE 9TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6915
Practice Address - Country:US
Practice Address - Phone:503-230-0458
Practice Address - Fax:503-230-0458
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1387175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath