Organization
HEALING SPIRIT INTEGRATIVE HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMA JB DOUGLAS NP (PRESIDENT AND NURSE PRACTITIONER)
(541) 683-1125
Entity
Organization
Contact information
Practice address
1355 OAK ST STE 100, EUGENE, OR 97401-3566
(541) 683-1125
(541) 683-2049
Mailing address
1355 OAK ST STE 100, EUGENE, OR 97401-3566
(541) 683-1125
(541) 683-2049
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
200841796RN
OR
261QM1300X
Multi-Specialty Clinic/Center
201508020RN
OR
261QP2300X
Primary Care Clinic/Center
080045015NS
OR
261QP2300X
Primary Care Clinic/Center
Primary
81001432RN(N3)
OR
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500667910
—
OR
Enumeration date
06/29/2007
Last updated
03/04/2019
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