Provider Demographics
NPI:1841559754
Name:VALDEZ, MARIA MARGUERITE (ND)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:MARGUERITE
Last Name:VALDEZ
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 1:2025 NE MLK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-3723
Mailing Address - Country:US
Mailing Address - Phone:503-740-9315
Mailing Address - Fax:
Practice Address - Street 1:2025 NE MLK BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3723
Practice Address - Country:US
Practice Address - Phone:503-740-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1777175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath