Provider Demographics
NPI:1386761443
Name:MYHRE, ODDVEIG (NMD)
Entity type:Individual
Prefix:DR
First Name:ODDVEIG
Middle Name:
Last Name:MYHRE
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34225 N.27TH DR
Mailing Address - Street 2:BLDG 3, STE 118
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085
Mailing Address - Country:US
Mailing Address - Phone:602-516-0010
Mailing Address - Fax:602-516-8769
Practice Address - Street 1:34225 N 27TH DR BLDG 3
Practice Address - Street 2:STE 118
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-6087
Practice Address - Country:US
Practice Address - Phone:623-516-0010
Practice Address - Fax:623-516-8769
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ06935175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath