Provider Demographics
NPI:1407192503
Name:ALPINE NATURAL THERAPEUTICS INCORPORATED
Entity Type:Organization
Organization Name:ALPINE NATURAL THERAPEUTICS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIHIRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-607-0018
Mailing Address - Street 1:2980 N BEVERLY GLEN CIR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1726
Mailing Address - Country:US
Mailing Address - Phone:310-474-9809
Mailing Address - Fax:
Practice Address - Street 1:2008 WILLAMETTE FALLS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4658
Practice Address - Country:US
Practice Address - Phone:503-607-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPINE NATURAL THERAPEUTICS INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site