Provider Demographics
NPI:1083043020
Name:CLUNEY, PAULA (ND)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:CLUNEY
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 1:53 EXCHANGE ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-5034
Mailing Address - Country:US
Mailing Address - Phone:206-790-1509
Mailing Address - Fax:
Practice Address - Street 1:53 EXCHANGE ST
Practice Address - Street 2:SUITE 401
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5034
Practice Address - Country:US
Practice Address - Phone:207-846-4900
Practice Address - Fax:207-846-4901
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP417175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath