Provider Demographics
NPI:1508203167
Name:ACCORDANT NATURAL HEALTH LLC
Entity Type:Organization
Organization Name:ACCORDANT NATURAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC PHYSICIAN/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:PIETILA
Authorized Official - Last Name:FERDINAND
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-484-3693
Mailing Address - Street 1:10424 SE CHERRY BLOSSOM DR STE I
Mailing Address - Street 2:CHERRY BLOSSOM WELLNESS & PROFESSIONAL CENTER
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2825
Mailing Address - Country:US
Mailing Address - Phone:503-419-8714
Mailing Address - Fax:
Practice Address - Street 1:10424 SE CHERRY BLOSSOM DR STE I
Practice Address - Street 2:CHERRY BLOSSOM WELLNESS & PROFESSIONAL CENTER
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2825
Practice Address - Country:US
Practice Address - Phone:503-419-8714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1926261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1215272836OtherNPPES NPI TYPE 1