Provider Demographics
NPI:1821257346
Name:NATURAL ORTHOPEDIC & INTERNAL MEDICINE
Entity Type:Organization
Organization Name:NATURAL ORTHOPEDIC & INTERNAL MEDICINE
Other - Org Name:NATURAL PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILROY
Authorized Official - Suffix:
Authorized Official - Credentials:ND, DC
Authorized Official - Phone:503-363-6868
Mailing Address - Street 1:PO BOX 4353
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-8353
Mailing Address - Country:US
Mailing Address - Phone:503-363-6868
Mailing Address - Fax:503-779-1053
Practice Address - Street 1:4555 LIBERTY RD S
Practice Address - Street 2:SUITE 360
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5093
Practice Address - Country:US
Practice Address - Phone:503-363-6868
Practice Address - Fax:503-779-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273128111N00000X
OR1188175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty