Organization
NOURISHING MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH COLE LA.C, LMT (OWNER)
(503) 860-8998
Entity
Organization
Contact information
Practice address
2403 SE MONROE ST STE A3, PORTLAND, OR 97222-7646
(503) 860-8998
Mailing address
2403 SE MONROE ST STE A3, PORTLAND, OR 97222-7646
(503) 860-8998
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01153
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922277847
FROM OLD TAX ID
OR
Enumeration date
05/06/2011
Last updated
02/03/2015
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