Provider Demographics
NPI:1427260769
Name:COLETTO, JOSEPH J (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:COLETTO
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
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Mailing Address - Street 1:10525 SE CHERRY BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2826
Mailing Address - Country:US
Mailing Address - Phone:503-253-3443
Mailing Address - Fax:503-251-2092
Practice Address - Street 1:10525 SE CHERRY BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2826
Practice Address - Country:US
Practice Address - Phone:503-253-3443
Practice Address - Fax:503-251-2092
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR00116171100000X
OR555175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath