Provider Demographics
NPI:1538695861
Name:TERRAIN MEDICINE LLC
Entity Type:Organization
Organization Name:TERRAIN MEDICINE LLC
Other - Org Name:EAST WEST NATURAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NATUROPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:203-295-4362
Mailing Address - Street 1:4 WHITNEY STREET EXT
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3768
Mailing Address - Country:US
Mailing Address - Phone:203-295-4362
Mailing Address - Fax:
Practice Address - Street 1:4 WHITNEY STREET EXT
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3768
Practice Address - Country:US
Practice Address - Phone:203-295-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000461175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty