Provider Demographics
NPI:1861820474
Name:FIELDS, JAMIE LAUREN (ND)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LAUREN
Last Name:FIELDS
Suffix:
Gender:F
Credentials:ND
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Other - First Name:
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Mailing Address - Street 1:16144 SE HAPPY VALLEY TOWN CENTER DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4257
Mailing Address - Country:US
Mailing Address - Phone:503-658-7715
Mailing Address - Fax:503-658-7181
Practice Address - Street 1:16144 SE HAPPY VALLEY TOWN CENTER DR
Practice Address - Street 2:SUITE 214
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-4257
Practice Address - Country:US
Practice Address - Phone:503-658-7715
Practice Address - Fax:503-658-7181
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1982175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath