Provider Demographics
NPI:1467735852
Name:SCHWARTZ, GLORIA (ND)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:
Last Name:SCHWARTZ
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 1:1240 TOLMAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-3653
Mailing Address - Country:US
Mailing Address - Phone:541-482-8737
Mailing Address - Fax:
Practice Address - Street 1:1240 TOLMAN CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-3653
Practice Address - Country:US
Practice Address - Phone:541-482-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0556175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR290007Medicaid