Provider Demographics
NPI:1043680044
Name:KWAN-YIN NATUROPATHY EAST INC
Entity Type:Organization
Organization Name:KWAN-YIN NATUROPATHY EAST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-701-8766
Mailing Address - Street 1:3115 NE SANDY BLVD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2776
Mailing Address - Country:US
Mailing Address - Phone:503-701-8766
Mailing Address - Fax:971-255-0727
Practice Address - Street 1:3115 NE SANDY BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2776
Practice Address - Country:US
Practice Address - Phone:503-701-8766
Practice Address - Fax:971-255-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1918175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty