Organization · NPI-2

Forest Medicine LLC

Naturopath · Gresham, OR

NPI number1154791275
StatusActive
Last updated in NPPESOct 1, 2015

Details

NPI
1154791275
Entity type
Organization (NPI-2)
Legal business name
Forest Medicine LLC
Organization subpart
Yes
Enumeration date
Oct 1, 2015
Last updated
Oct 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath1798ORYes

Other names

  • Water Of Life Natural Health (Doing Business As)

Practice location

22400 Se Stark St Ste 105
Gresham, OR 97030-2656

Phone 503-250-0440

Mailing address

Po Box 116
Corbett, OR 97019-0116

Phone 503-250-0440

Authorized official

Kathryn Olivia Kloos
Owner
5032500440

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