Provider Demographics
NPI:1700977386
Name:PAISLEY, ROSE ELIZABETH (ND)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:ELIZABETH
Last Name:PAISLEY
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 1:1433 NE ALBERTA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-5043
Mailing Address - Country:US
Mailing Address - Phone:503-446-4862
Mailing Address - Fax:833-815-0577
Practice Address - Street 1:1433 NE ALBERTA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-5043
Practice Address - Country:US
Practice Address - Phone:503-446-4862
Practice Address - Fax:833-815-0577
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1253175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath