Provider Demographics
NPI:1487938288
Name:MCVEIGH, NATHAN DANIEL (ND)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:DANIEL
Last Name:MCVEIGH
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14880 SW 83 AVE
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-3700
Mailing Address - Country:US
Mailing Address - Phone:503-358-6682
Mailing Address - Fax:
Practice Address - Street 1:14880 SW 83 AVE
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-3700
Practice Address - Country:US
Practice Address - Phone:503-358-6682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1839175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath