Provider Demographics
NPI:1578206678
Name:TEAMWORKS INTERNATIONAL
Entity Type:Organization
Organization Name:TEAMWORKS INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BINGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-217-4457
Mailing Address - Street 1:3125 NE HOLLADAY ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2504
Mailing Address - Country:US
Mailing Address - Phone:503-217-4457
Mailing Address - Fax:503-662-6420
Practice Address - Street 1:1516 SE 43RD AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3112
Practice Address - Country:US
Practice Address - Phone:503-217-4457
Practice Address - Fax:503-662-6420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500803313Medicaid