WILSONVILLE NATURAL MEDICINE LLC NPI 1548832736

NPI Information

NPI: 1548832736
Provider Name: WILSONVILLE NATURAL MEDICINE, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
8855 SW HOLLY LN STE 105
WILSONVILLE, OR
ZIP 97070
Phone: (503) 855-3244
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WILSONVILLE NATURAL MEDICINE, LLC is a health service clinic center in Wilsonville, OR. WILSONVILLE NATURAL MEDICINE, LLC NPI is 1548832736. The provider is registered as an organization entity type.

The provider's business location address is:

8855 SW HOLLY LN STE 105
WILSONVILLE, OR
ZIP 97070-792
Phone: (503) 855-3244
Fax: (503) 855-3597

The provider's authorized official is Kim Loren Schmaltz .
The authorized official title is Owner/clinician and has the following contact phone number (503) 855-3244.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 7/15/2021.

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	261QH0100X	Clinic/Center	Health Service			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CM00126432	OTHER	OREGON	MALPRACTICE POLICY NUMBER

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

NPI Synchronization or Removal

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