Provider Demographics
NPI:1598197568
Name:RAIN AND SHINE HOLISTIC HEALTHCARE LLP
Entity Type:Organization
Organization Name:RAIN AND SHINE HOLISTIC HEALTHCARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:ELANA
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:503-227-2431
Mailing Address - Street 1:3903 SW KELLY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4393
Mailing Address - Country:US
Mailing Address - Phone:503-227-2431
Mailing Address - Fax:
Practice Address - Street 1:3903 SW KELLY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4393
Practice Address - Country:US
Practice Address - Phone:503-227-2431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC151170171100000X
OR171100000X
ORND1669175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty