Provider Demographics
NPI:1033314679
Name:VOSLOO, WERNER (ND, MTECHHOM)
Entity Type:Individual
Prefix:DR
First Name:WERNER
Middle Name:
Last Name:VOSLOO
Suffix:
Gender:M
Credentials:ND, MTECHHOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9675 SW MARILYN CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97224-5704
Mailing Address - Country:US
Mailing Address - Phone:503-481-9300
Mailing Address - Fax:
Practice Address - Street 1:6655 SW HAMPTON ST STE 110
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8359
Practice Address - Country:US
Practice Address - Phone:503-684-1875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR# 1543175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath