HEALTHYU NUTRITION NPI 1346899267

NPI Information

NPI: 1346899267
Provider Name: HEALTHYU NUTRITION

Former Legal Business Name: CREATIVE JUICES NUTRITION THERAPY & EDUCATION

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
14210 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (503) 855-6171
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HEALTHYU NUTRITION is a health service clinic center in Clackamas, OR. HEALTHYU NUTRITION NPI is 1346899267. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Creative Juices Nutrition Therapy & Education.

The provider's business location address is:

14210 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-240
Phone: (503) 855-6171

The provider's authorized official is Cary Fardal .
The authorized official title is President and has the following contact phone number (503) 855-6171.

The enumeration date for this NPI number is 9/4/2019 and was last updated on 9/20/2023.

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	Primary
1	261QC1500X	Clinic/Center	Community Health	No
2	251V00000X	Voluntary or Charitable		No
3	261QH0100X	Clinic/Center	Health Service	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: 5/5/2024

NPI Synchronization or Removal

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