Organization
WHOLESOME FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BLEVINS ND (OWNER)
(541) 851-9320
Entity
Organization
Contact information
Practice address
4036 S 6TH ST STE 2, KLAMATH FALLS, OR 97603
(541) 851-9320
(541) 851-9322
Mailing address
4036 S 6TH ST STE 2, KLAMATH FALLS, OR 97603-4750
(541) 851-9320
(541) 851-9322
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3053
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694147
—
OR
Enumeration date
01/03/2018
Last updated
04/06/2021
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