Provider Demographics
NPI:1710147764
Name:PALMER, ANGELA KALENE (ND)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:KALENE
Last Name:PALMER
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 1:4970 SW MAIN AVE UNIT 200
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2750
Mailing Address - Country:US
Mailing Address - Phone:503-888-6952
Mailing Address - Fax:844-478-9727
Practice Address - Street 1:4970 SW MAIN AVE UNIT 200
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2750
Practice Address - Country:US
Practice Address - Phone:503-888-6952
Practice Address - Fax:844-478-9727
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X
OR1417175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath