Organization
NATIONAL COLLEGE OF NATURAL MEDICINE
Active
Parent organization
NATURAL COLLEGE OF NATURAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATURAL COLLEGE OF NATURAL MEDICINE
Authorized official
REGINA IDA DEHEN NC, LAC (CMO AND DEAN OF CLINICS)
(503) 552-1551
Entity
Organization
Contact information
Practice address
3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
(503) 552-1551
(503) 226-8133
Mailing address
3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
(503) 552-1551
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0879
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025087000
BLUE CROSS BLUE SHIELD
OR
05
—
137646
—
OR
Enumeration date
03/05/2009
Last updated
02/05/2016
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