Renewal Centers
Naturopath in Gresham, OR. Organization (NPI-2).
NPI number1063704427
StatusActive
Last updated in NPPESJun 21, 2012
Details
- NPI
- 1063704427
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewal Centers
- Organization subpart
- No
- Enumeration date
- May 4, 2011
- Last updated
- Jun 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 0932 | OR | Yes |
| 111N00000X | Chiropractor | 3026 | OR |
Practice location
1240 Ne Burnside RdGresham, OR 97030-5713
Phone 503-667-9300 · Fax 503-667-4975
Mailing address
1240 Ne Burnside RdGresham, OR 97030-5713
Phone 503-667-9300 · Fax 503-667-4975
Authorized official
Jonathan Hansel
Owner
5036679300
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All 27 Naturopath providers in Gresham · All 2,430 providers in Gresham
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