Provider Demographics
NPI:1063018307
Name:SIRONA INTEGRATIVE HEALTH LLC
Entity Type:Organization
Organization Name:SIRONA INTEGRATIVE HEALTH LLC
Other - Org Name:SIRONA INTEGRATIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-882-0752
Mailing Address - Street 1:819 SE MORRISON ST STE 235
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-6312
Mailing Address - Country:US
Mailing Address - Phone:503-882-0752
Mailing Address - Fax:503-908-6742
Practice Address - Street 1:819 SE MORRISON ST STE 235
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-6312
Practice Address - Country:US
Practice Address - Phone:503-882-0752
Practice Address - Fax:503-908-6742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty