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Organization
NORTHWEST INTEGRATIVE NUTRITION AND THERAPY
Active
Organization
NORTHWEST INTEGRATIVE NUTRITION AND THERAPY
Active
Other names
Forage Wellness Collective
Organization subpart
No
Provider details
NPI number
Authorized official
KARI LITTLE (CO-OWNER)
(360) 402-2740
Entity
Organization
Contact information
Practice address
615 N MEADOW LN, SISTERS, OR 97759-3148
(541) 640-9310
Mailing address
615 N MEADOW LN, SISTERS, OR 97759-3148
(541) 640-9310
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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