National University of Natural Medicine (NUNM) states that it is "the first and only university to offer a CNME-approved year-one online Doctor of Naturopathic Medicine (ND) program." After year one online, years two, three, and four of the program are on-campus based at NUNM in Portland, Oregon. Only the first year is online. NUNM states in its FAQ for this program: In addition to the ND program being accredited by the CNME, NUNM is institutionally RA by the NWCCU. Proponents describe NDs as offering a nature-based form of primary health care, whereas critics including ND-turned-skeptic Britt Marie Hermes question the profession's adherence to science, the quality of ND programs, and the career prospects of ND graduates.