Provider Demographics
NPI:1942554001
Name:RIES, DARCY A (ND)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:A
Last Name:RIES
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 1:2456 NW NORTHRUP ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3253
Mailing Address - Country:US
Mailing Address - Phone:503-277-3113
Mailing Address - Fax:971-277-6050
Practice Address - Street 1:2456 NW NORTHRUP ST STE 1A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3253
Practice Address - Country:US
Practice Address - Phone:503-277-3113
Practice Address - Fax:971-277-6050
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-28
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1923175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath