# ALTA NATURAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922774488
- **Authorized official:** DR. ORNA IZAKSON ND (OWNER)
- **Authorized official phone:** (907) 202-9917

## Contact information

- **Practice address:** 2102 CLEVELAND AVE, ANCHORAGE, AK 99517-3009
- **Practice address phone:** (907) 202-9917
- **Practice address fax:** (503) 575-9229
- **Mailing address:** 4921 NE 28TH AVE, PORTLAND, OR 97211-6336
- **Mailing address phone:** (907) 202-9917
- **Mailing address fax:** (503) 575-9229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 08/16/2021