Provider Demographics
NPI:1275196727
Name:DAYTON, NATASHA (ND)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:DAYTON
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 1:750 SW 9TH AVE APT 1402
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2580
Mailing Address - Country:US
Mailing Address - Phone:310-461-5094
Mailing Address - Fax:
Practice Address - Street 1:750 SW 9TH AVE APT 1402
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2580
Practice Address - Country:US
Practice Address - Phone:310-461-5094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND296175F00000X
CAND981175F00000X
OR4235175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath