Provider Demographics
NPI:1235286832
Name:MEYER, PATRICIA J (ND)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:J
Last Name:MEYER
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 1:12616 SE STARK ST
Mailing Address - Street 2:PLAZA 125, BUILDING L
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-1058
Mailing Address - Country:US
Mailing Address - Phone:503-408-0790
Mailing Address - Fax:503-408-0791
Practice Address - Street 1:12616 SE STARK ST
Practice Address - Street 2:PLAZA 125, BUILDING L
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-1058
Practice Address - Country:US
Practice Address - Phone:503-408-0790
Practice Address - Fax:503-408-0791
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR870175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath