Provider Demographics
NPI:1558821819
Name:WODR
Entity Type:Organization
Organization Name:WODR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOTTENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:617-233-9408
Mailing Address - Street 1:9393 E PALO BREA BND UNIT 1060
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6508
Mailing Address - Country:US
Mailing Address - Phone:617-233-9408
Mailing Address - Fax:
Practice Address - Street 1:9393 E PALO BREA BND UNIT 1060
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6508
Practice Address - Country:US
Practice Address - Phone:617-233-9408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty