Provider Demographics
NPI:1104028323
Name:NATURAL FAMILY MEDICINE OF CASCADE PARK, PC
Entity Type:Organization
Organization Name:NATURAL FAMILY MEDICINE OF CASCADE PARK, PC
Other - Org Name:NATURAL FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-882-1339
Mailing Address - Street 1:222 NE PARK PLAZA DR STE 111
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5896
Mailing Address - Country:US
Mailing Address - Phone:360-882-1339
Mailing Address - Fax:360-253-8006
Practice Address - Street 1:222 NE PARK PLAZA DR STE 111
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5896
Practice Address - Country:US
Practice Address - Phone:360-882-1339
Practice Address - Fax:360-253-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001077175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty