Provider Demographics
NPI:1598240855
Name:GOOD HEALTH NATUROPATHIC MEDICAL CENTER, LLC
Entity Type:Organization
Organization Name:GOOD HEALTH NATUROPATHIC MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NATUROPATHIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:NOE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:860-921-7119
Mailing Address - Street 1:7400 SE MILWAUKIE AVE APT 217
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6169
Mailing Address - Country:US
Mailing Address - Phone:860-921-7119
Mailing Address - Fax:
Practice Address - Street 1:6214 SE MILWAUKIE AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5417
Practice Address - Country:US
Practice Address - Phone:860-921-7119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center