Provider Demographics
NPI:1043858392
Name:AGUIAR, JULIE (ND)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:AGUIAR
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 1:1020 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-2718
Mailing Address - Country:US
Mailing Address - Phone:541-399-1699
Mailing Address - Fax:
Practice Address - Street 1:539 NW 13TH AVE STE 405
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3000
Practice Address - Country:US
Practice Address - Phone:541-399-1699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4245175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty