Garden Pure

Clinic/Center in Beaverton, OR. Organization (NPI-2).

NPI number1174801005

StatusActive

Last updated in NPPESJul 26, 2011

Details

NPI: 1174801005
Entity type: Organization (NPI-2)
Legal business name: Garden Pure
Organization subpart: No
Enumeration date: Jul 26, 2011
Last updated: Jul 26, 2011

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	0767	OR	Yes

Other names

Garden Pure (Former Legal Business Name)

Practice location

4085 Sw 109th Ave Ste 200
Beaverton, OR 97005-3000

Phone 503-643-1024 · Fax 503-644-1293

Mailing address

4085 Sw 109th Ave Ste 200
Beaverton, OR 97005-3000

Phone 503-643-1024 · Fax 503-644-1293

Authorized official

Chris D Meletis
Naturopathic Physician
5036431024

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Other Clinic/Center providers in Beaverton, OR

All 26 Clinic/Center providers in Beaverton · All 4,562 providers in Beaverton

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