Provider Demographics
NPI:1033529722
Name:MICHELE BARTLETT ND, LLC
Entity Type:Organization
Organization Name:MICHELE BARTLETT ND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-860-9909
Mailing Address - Street 1:245 SE 4TH AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4033
Mailing Address - Country:US
Mailing Address - Phone:503-844-6667
Mailing Address - Fax:503-924-5905
Practice Address - Street 1:245 SE 4TH AVE
Practice Address - Street 2:SUITE E
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4033
Practice Address - Country:US
Practice Address - Phone:503-844-6667
Practice Address - Fax:503-924-5905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1972175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty