Provider Demographics
NPI:1558618108
Name:LAURIE MARZELL, N.D.
Entity Type:Organization
Organization Name:LAURIE MARZELL, N.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DR.
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARZELL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-655-9493
Mailing Address - Street 1:15962 BOONES FERRY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4359
Mailing Address - Country:US
Mailing Address - Phone:503-655-9493
Mailing Address - Fax:503-699-1847
Practice Address - Street 1:15962 BOONES FERRY RD STE 102
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4359
Practice Address - Country:US
Practice Address - Phone:503-655-9493
Practice Address - Fax:503-699-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty