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GARDEN PURE NPI 1174801005


NPI Information

NPI: 1174801005
Provider Name: GARDEN PURE

Former Legal Business Name: GARDEN PURE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4085 SW 109TH AVE STE 200
BEAVERTON, OR
ZIP 97005
Phone: (503) 643-1024
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GARDEN PURE is a clinic center in Beaverton, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GARDEN PURE NPI is 1174801005. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Garden Pure.

The provider's business location address is:

4085 SW 109TH AVE STE 200
BEAVERTON, OR
ZIP 97005-000
Phone: (503) 643-1024
Fax: (503) 644-1293

The provider's authorized official is Chris D Meletis .
The authorized official title is Naturopathic Physician and has the following contact phone number (503) 643-1024.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 7/26/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center0767OREGONYes

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: 4/28/2024

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