# NATIONAL COLLEGE OF NATURAL MEDICINE

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

## Provider details

- **NPI number:** 1982991139
- **Authorized official:** REGINA IDA DEHEN NC, LAC (CMO AND DEAN OF CLINICS)
- **Authorized official phone:** (503) 552-1551

## Contact information

- **Practice address:** 3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
- **Practice address phone:** (503) 552-1999
- **Practice address fax:** (503) 827-8460
- **Mailing address:** 3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
- **Mailing address phone:** (503) 552-1999
- **Mailing address fax:** (503) 827-8460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2011
- **Last updated:** 11/25/2015
