Provider Demographics
NPI:1043647332
Name:GEDEON, LINDA (ND)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:GEDEON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 SW TAYLOR ST STE 804
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2500
Mailing Address - Country:US
Mailing Address - Phone:971-888-5639
Mailing Address - Fax:888-972-4978
Practice Address - Street 1:1020 SW TAYLOR ST STE 804
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2500
Practice Address - Country:US
Practice Address - Phone:971-888-5639
Practice Address - Fax:888-972-4978
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1967175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath