Provider Demographics
NPI:1700978178
Name:PEPEL, MIHAELA (MD, ND)
Entity type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:
Last Name:PEPEL
Suffix:
Gender:F
Credentials:MD, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15880 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-3336
Mailing Address - Country:US
Mailing Address - Phone:503-232-3302
Mailing Address - Fax:
Practice Address - Street 1:15880 QUARRY RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3336
Practice Address - Country:US
Practice Address - Phone:503-232-3302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1510175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath