Provider Demographics
NPI:1184934085
Name:OBEROI, KHIVAN KAUR (ND)
Entity type:Individual
Prefix:DR
First Name:KHIVAN
Middle Name:KAUR
Last Name:OBEROI
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 1:960 LIBERTY ST SE STE 210
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4195
Mailing Address - Country:US
Mailing Address - Phone:503-893-8905
Mailing Address - Fax:503-828-9593
Practice Address - Street 1:960 LIBERTY ST SE STE 210
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4195
Practice Address - Country:US
Practice Address - Phone:503-893-8905
Practice Address - Fax:503-828-9593
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21-00086175F00000X
OR1772175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath