Provider Demographics
NPI:1770362238
Name:WEINER, ARIEL DAWN (ND)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:DAWN
Last Name:WEINER
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 1:6847 SE 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-7367
Mailing Address - Country:US
Mailing Address - Phone:520-971-6066
Mailing Address - Fax:
Practice Address - Street 1:6847 SE 71ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-7367
Practice Address - Country:US
Practice Address - Phone:520-971-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath