Provider Demographics
NPI:1083367270
Name:RESONANCE NATURAL MEDICINE LLC
Entity Type:Organization
Organization Name:RESONANCE NATURAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR/OWNER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:I
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:520-440-9508
Mailing Address - Street 1:3439 SE HAWTHORNE BLVD # 423
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-5048
Mailing Address - Country:US
Mailing Address - Phone:520-440-9508
Mailing Address - Fax:
Practice Address - Street 1:555 SE M L KING BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2120
Practice Address - Country:US
Practice Address - Phone:520-440-9508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty