Natural Health Source Clinic
Clinic/Center, Primary Care in Tualatin, OR. Organization (NPI-2).
NPI number1699132829
StatusActive
Last updated in NPPESJan 19, 2016
Details
- NPI
- 1699132829
- Entity type
- Organization (NPI-2)
- Legal business name
- Natural Health Source Clinic
- Organization subpart
- No
- Enumeration date
- Jan 19, 2016
- Last updated
- Jan 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 1634 | OR | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | 1634 | OR |
Practice location
19300 Sw Boones Ferry RdSuite 2c
Tualatin, OR 97062-9086
Phone 503-855-3475 · Fax 503-855-3948
Mailing address
19300 Sw Boones Ferry RdSuite 2c
Tualatin, OR 97062-9086
Phone 503-855-3475 · Fax 503-855-3948
Authorized official
Meredith H Hudson
Naturopathic Doctor
5038553475
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