Provider Demographics
NPI:1285755371
Name:CELNIK, BOZENA MARIA (ND)
Entity type:Individual
Prefix:
First Name:BOZENA
Middle Name:MARIA
Last Name:CELNIK
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 1:6205 CARMAN DR
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4073
Mailing Address - Country:US
Mailing Address - Phone:503-699-0600
Mailing Address - Fax:503-699-0608
Practice Address - Street 1:6205 CARMAN DR
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4073
Practice Address - Country:US
Practice Address - Phone:503-699-0600
Practice Address - Fax:503-699-0608
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1067175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath