Provider Demographics
NPI:1487974929
Name:PILCHER, PAULA ELIZABETH (ND, LMT)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:ELIZABETH
Last Name:PILCHER
Suffix:
Gender:F
Credentials:ND, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5310 SW 53RD CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-1938
Mailing Address - Country:US
Mailing Address - Phone:503-867-8448
Mailing Address - Fax:503-477-9303
Practice Address - Street 1:12150 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2850
Practice Address - Country:US
Practice Address - Phone:503-867-8448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14175225700000X
OR1749175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist