Provider Demographics
NPI:1386983427
Name:VERFURTH, JULIE (ND)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:VERFURTH
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 1:5105 SE HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3301
Mailing Address - Country:US
Mailing Address - Phone:503-886-8622
Mailing Address - Fax:503-914-2153
Practice Address - Street 1:5105 SE HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3301
Practice Address - Country:US
Practice Address - Phone:503-886-8622
Practice Address - Fax:503-914-2153
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-09
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1262175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath