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
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