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Organization
A FAMILY HEALING CENTER
Active
Organization
A FAMILY HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BLACK ND (OWNER/ MEDICAL DIRECTOR)
(503) 883-0333
Entity
Organization
Contact information
Practice address
829 NE HWY 99W, MCMINNVILLE, OR 97128
(503) 883-0333
(503) 857-0622
Mailing address
829 NE HWY 99W, MCMINNVILLE, OR 97128
(503) 883-0333
(503) 857-0622
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
1263
OR
175F00000X
Naturopath
Primary
1269
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922284124
—
OR
Enumeration date
05/05/2008
Last updated
07/31/2020
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