Provider Demographics
NPI:1396211520
Name:RIPPLE HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:RIPPLE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:541-797-0167
Mailing Address - Street 1:3338 NE MANCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-8360
Mailing Address - Country:US
Mailing Address - Phone:503-459-6127
Mailing Address - Fax:
Practice Address - Street 1:61555 PARRELL RD
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2701
Practice Address - Country:US
Practice Address - Phone:541-797-0167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service