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NATIONAL UNIVERSITY OF NATURAL MEDICINE NPI 1225412620


NPI Information

NPI: 1225412620
Provider Name: NATIONAL UNIVERSITY OF NATURAL MEDICINE

Other Name: NUNM

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 38D2099835

Address:
3025 SW CORBETT AVE
PORTLAND, OR
ZIP 97201
Phone: (503) 552-1551
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NATIONAL UNIVERSITY OF NATURAL MEDICINE is a primary care clinic center in Portland, OR. NATIONAL UNIVERSITY OF NATURAL MEDICINE NPI is 1225412620. The provider is registered as an organization entity type.
The provider Other Name Is Nunm.

The provider's business location address is:

3025 SW CORBETT AVE
PORTLAND, OR
ZIP 97201-858
Phone: (503) 552-1551

The provider's authorized official is Regina Ida Dehen .
The authorized official title is Cmo And Dean Of Clinics and has the following contact phone number (503) 552-1966.

The CLIA number assigned to this NPI record is 38D2099835 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 9/13/2016.


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
1261QS1000XClinic/CenterStudent Health0879OREGONNo
2332900000XNon-Pharmacy Dispensing Site0879OREGONNo
3261QP2300XClinic/CenterPrimary CareND0879OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1137646MEDICAIDOREGON

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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