Provider Demographics
NPI:1043824964
Name:PC HEALTH, LLC
Entity Type:Organization
Organization Name:PC HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-888-9903
Mailing Address - Street 1:6519 N VANCOUVER AVE APT C
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-1954
Mailing Address - Country:US
Mailing Address - Phone:503-888-9903
Mailing Address - Fax:
Practice Address - Street 1:6519 N VANCOUVER AVE APT C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-1954
Practice Address - Country:US
Practice Address - Phone:503-888-9903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty