Peabody, Judy E
Peabody, Judy E is an sole proprietor health care provider with primary practice located at 4085 Sw 109Th Ave Ste 200 , Beaverton OR 97005-3000. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Naturopath, Other Service Providers / Homeopath. Other Service Providers / Naturopath is her primary health care specialty. Peabody, Judy E can be contacted via phone (503) 643-1024.Contact Information
Primary practice address
4085 Sw 109Th Ave Ste 200
Beaverton OR 97005-3000
Phone: (503) 643-1024
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 704 | Oregon |
| Other Service Providers / Homeopath | 175L00000X | 704 | Oregon |
Profile Details
| NPI number | 1164593638 |
|---|---|
| LBN Legal business name | Peabody, Judy E |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164593638 | NPPES |
| Oregon | Other | 022553 | OREGON MEDICAL ASSISTANCE |
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