Provider Demographics
NPI:1487024998
Name:HARDING, AUBREY LYNN (ND)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:LYNN
Last Name:HARDING
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 1:1174 CORNUCOPIA ST NW STE 240
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-3193
Mailing Address - Country:US
Mailing Address - Phone:971-301-4411
Mailing Address - Fax:971-999-7006
Practice Address - Street 1:1174 CORNUCOPIA ST NW STE 240
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-3193
Practice Address - Country:US
Practice Address - Phone:971-301-4411
Practice Address - Fax:971-999-7006
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3012175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath