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Organization

NATIONAL UNIVERSITY OF NATURAL MEDICINE

Active
Parent organization
NATIONAL UNIVERSITY OF NATURAL MEDICINE
Other names
NUNM
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL UNIVERSITY OF NATURAL MEDICINE
Authorized official
DR. REGINA IDA DEHEN ND LAC (CMO AND DEAN OF CLINICS)
(503) 552-1966
Entity
Organization

Contact information

Practice address
3025 SW CORBETT AVE, PORTLAND, OR 97201-4858
(503) 552-1551
Mailing address
049 SW PORTER ST, PORTLAND, OR 97201-4848
(503) 552-1551
(503) 226-8133

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ND0879
OR
261QS1000X
Student Health Clinic/Center
0879
OR
332900000X
Non-Pharmacy Dispensing Site
0879
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137646
OR
Enumeration date
07/15/2015
Last updated
09/13/2016
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