Provider Demographics
NPI:1083795546
Name:NETHERLAND, VALERIE (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:NETHERLAND
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 SE 4TH AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4033
Mailing Address - Country:US
Mailing Address - Phone:503-844-6667
Mailing Address - Fax:503-924-5905
Practice Address - Street 1:245 SE 4TH AVE
Practice Address - Street 2:SUITE F
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4033
Practice Address - Country:US
Practice Address - Phone:503-844-6667
Practice Address - Fax:503-924-5905
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01006171100000X
OR1485175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath