Earth Source Medicine
NPI #1164952495 in Astoria, Oregon
Provider Information
- NPI Number
- 1164952495
- Entity Type
- Organization
- Organization Name
- Earth Source Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 19, 2017
- Last Updated
- Jul 6, 2021
Practice Location
Authorized Official
- Name
- DR. CAROLYN IACULLO NYGAARD, N.D
- Title
- OWNER
- Phone
- (503) 741-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Primary Care — Primary Care |
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