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Organization
NATIONAL COLLEGE OF NATURAL MEDICINE
Active
Organization
NATIONAL COLLEGE OF NATURAL MEDICINE
Active
Other names
Natural Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA IDA DEHEN ND, LAC (CMO AND DEAN OF CLINICS)
(503) 552-1551
Entity
Organization
Contact information
Practice address
2232 NW PETTYGROVE ST, PORTLAND, OR 97210-2608
(503) 552-1552
Mailing address
049 SW PORTER ST, PORTLAND, OR 97201-4848
(503) 552-1551
(503) 295-3609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025087000
BLUE CROSS BLUE SHIELD #
OR
05
—
137646
—
OR
Enumeration date
05/23/2007
Last updated
11/25/2015
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