Provider Demographics
NPI:1255583639
Name:ACHUFF, JEANNE (ND)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:
Last Name:ACHUFF
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 1:427 N SKIDMORE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-3052
Mailing Address - Country:US
Mailing Address - Phone:503-223-3741
Mailing Address - Fax:
Practice Address - Street 1:125 NE KILLINGSWORTH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-2625
Practice Address - Country:US
Practice Address - Phone:503-223-3741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1647175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath