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Organization

NATIONAL UNIVERSITY OF NATURAL MEDICINE

Active
Other names
NUNM Health Centers
Organization subpart
No

Provider details

NPI number
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) 552-1966
(503) 226-8133
Mailing address
049 SW PORTER ST, PORTLAND, OR 97201-4848
(503) 552-1551
(503) 295-3609

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025087000
BLUE CROSS BLUE SHIELD #
OR
05
137646
OR
Enumeration date
05/03/2007
Last updated
09/19/2016
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