Forest Medicine LLC

NPI #1154791275 in Gresham, Oregon

Provider Information

NPI Number: 1154791275
Entity Type: Organization
Organization Name: Forest Medicine LLC
Subpart: Yes (part of a larger organization)
Parent Organization: 94985497
Primary Specialty: Naturopath
Enumeration Date: Oct 1, 2015
Last Updated: Oct 1, 2015

Practice Location

Address: 22400 SE STARK ST STE 105
City: Gresham
State: Oregon
ZIP Code: 97030-2656
Phone: (503) 250-0440

Authorized Official

Name: DR. KATHRYN OLIVIA KLOOS, N.D.
Title: OWNER
Phone: (503) 250-0440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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