Organization
CALYPSO NATURAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HOFFMAN (PRESIDENT CEO)
(503) 472-5500
Entity
Organization
Contact information
Practice address
2274 SW 2ND ST STE C, MCMINNVILLE, OR 97128-5597
(503) 472-5500
(503) 434-1224
Mailing address
2274 SW 2ND ST STE C, MCMINNVILLE, OR 97128-5597
(503) 472-5500
(503) 434-1224
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1685
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500637854
—
OR
Enumeration date
05/19/2015
Last updated
05/19/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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