Provider Demographics
NPI:1619116001
Name:SELCHOW, CATHRYN LUANNE (ND, DC)
Entity Type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:LUANNE
Last Name:SELCHOW
Suffix:
Gender:F
Credentials:ND, DC
Other - Prefix:DR
Other - First Name:CATHRYN
Other - Middle Name:LUANNE
Other - Last Name:MORTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND, DC
Mailing Address - Street 1:1675 SW MARLOW AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-5105
Mailing Address - Country:US
Mailing Address - Phone:503-469-9818
Mailing Address - Fax:503-469-9870
Practice Address - Street 1:1675 SW MARLOW AVE STE 301
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5105
Practice Address - Country:US
Practice Address - Phone:503-469-9818
Practice Address - Fax:503-469-9870
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28-1437111NN1001X
OR0848175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No111NN1001XChiropractic ProvidersChiropractorNutrition