Provider Demographics
NPI:1982835674
Name:FARBEROW-STUART, HILARY (ND)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:FARBEROW-STUART
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 1:4215 SE 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3537
Mailing Address - Country:US
Mailing Address - Phone:503-232-6250
Mailing Address - Fax:
Practice Address - Street 1:8311 SE 13TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-7170
Practice Address - Country:US
Practice Address - Phone:503-234-4639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR684175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath