Provider Demographics
NPI:1669840161
Name:SUNSHINE FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:SUNSHINE FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:SUNSHINE
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-234-4270
Mailing Address - Street 1:643 N GRANT ST
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-3614
Mailing Address - Country:US
Mailing Address - Phone:503-234-4270
Mailing Address - Fax:503-961-0172
Practice Address - Street 1:143 NW 4TH AVE
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-3101
Practice Address - Country:US
Practice Address - Phone:503-234-4270
Practice Address - Fax:503-961-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1628175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty