Provider Demographics
NPI:1770092306
Name:TUSON-TURNER, MADELEINE (ND)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:
Last Name:TUSON-TURNER
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 1:13500 SW PACIFIC HWY STE 58
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-4803
Mailing Address - Country:US
Mailing Address - Phone:503-908-3894
Mailing Address - Fax:877-374-3488
Practice Address - Street 1:8113 SE 13TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6607
Practice Address - Country:US
Practice Address - Phone:503-908-3894
Practice Address - Fax:877-374-3488
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4110175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath