Organization
NAVIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G ALTENHOFEN (CEO)
(503) 915-2055
Entity
Organization
Contact information
Practice address
3235 NW SALTZMAN RD, PORTLAND, OR 97229-3950
(503) 915-2055
Mailing address
3235 NW SALTZMAN RD, PORTLAND, OR 97229-3950
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
163WC0400X
Case Management Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175F00000X
Naturopath
—
—
175T00000X
Peer Specialist
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
225100000X
Physical Therapist
—
—
364SC2300X
Chronic Care Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBA
TBA
—
Enumeration date
02/28/2020
Last updated
02/28/2020
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