Provider Demographics
NPI:1295325074
Name:JUAREZ, ROSALIA VILLEGAS (ND)
Entity type:Individual
Prefix:DR
First Name:ROSALIA
Middle Name:VILLEGAS
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2931 SE CORNELIUS PASS RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123
Mailing Address - Country:US
Mailing Address - Phone:503-858-5429
Mailing Address - Fax:971-600-9093
Practice Address - Street 1:2831 SE CORNELIUS PASS RD STE 230
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6753
Practice Address - Country:US
Practice Address - Phone:503-858-5429
Practice Address - Fax:971-600-9093
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4371175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath