Organization
EXPANSIVE BEING LLC
Active
Other names
Amenda Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MCMANUS (DIRECTOR OF OPERATIONS)
(541) 521-9151
Entity
Organization
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Mailing address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
(503) 548-4013
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
175F00000X
Naturopath
Primary
1435
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671340
—
OR
Enumeration date
06/18/2012
Last updated
05/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us