Provider Demographics
NPI:1689356834
Name:EACH PEACH FAMILY WELLNESS
Entity Type:Organization
Organization Name:EACH PEACH FAMILY WELLNESS
Other - Org Name:EACH PEACH FAMILY WELLNESS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARALDI
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:971-319-3224
Mailing Address - Street 1:1567 SE TACOMA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6643
Mailing Address - Country:US
Mailing Address - Phone:971-319-3224
Mailing Address - Fax:971-402-9402
Practice Address - Street 1:1567 SE TACOMA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6643
Practice Address - Country:US
Practice Address - Phone:971-319-3224
Practice Address - Fax:971-402-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty