Provider Demographics
NPI:1295015568
Name:NC THERAPEUTICS INC
Entity Type:Organization
Organization Name:NC THERAPEUTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-951-3783
Mailing Address - Street 1:PO BOX 1274
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-0076
Mailing Address - Country:US
Mailing Address - Phone:503-951-3783
Mailing Address - Fax:
Practice Address - Street 1:208 S WATER ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1644
Practice Address - Country:US
Practice Address - Phone:503-951-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5637225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty