Provider Demographics
NPI:1518623693
Name:CENTERED HEALING LLC
Entity Type:Organization
Organization Name:CENTERED HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:GEORGIA
Authorized Official - Last Name:SPIETH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-740-7781
Mailing Address - Street 1:2805 NE MARTIN LUTHER KING BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-3039
Mailing Address - Country:US
Mailing Address - Phone:503-740-7781
Mailing Address - Fax:971-302-7048
Practice Address - Street 1:2805 NE MARTIN LUTHER KING BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3039
Practice Address - Country:US
Practice Address - Phone:503-740-7781
Practice Address - Fax:971-302-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1306124615Medicaid