RED LEAF NATURAL HEALTH CLINIC NPI 1093134496

NPI Information

NPI: 1093134496
Provider Name: RED LEAF NATURAL HEALTH CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
833 SW 11TH AVE STE 1018
PORTLAND, OR
ZIP 97205
Phone: (503) 224-2525
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RED LEAF NATURAL HEALTH CLINIC is a general practice in Portland, OR. RED LEAF NATURAL HEALTH CLINIC NPI is 1093134496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

833 SW 11TH AVE STE 1018
PORTLAND, OR
ZIP 97205-124
Phone: (503) 224-2525
Fax: (503) 224-3397

The provider's authorized official is Raina Monet Lasse .
The authorized official title is Owner and has the following contact phone number (503) 754-8175.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 4/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		1524	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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