Provider Demographics
NPI:1831494921
Name:OREGON NATURAL MEDICINE, LLC
Entity Type:Organization
Organization Name:OREGON NATURAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JARVELA
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-946-8700
Mailing Address - Street 1:1724 NE 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-1527
Mailing Address - Country:US
Mailing Address - Phone:503-946-8700
Mailing Address - Fax:503-339-9500
Practice Address - Street 1:1724 NE 42ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1527
Practice Address - Country:US
Practice Address - Phone:503-946-8700
Practice Address - Fax:503-339-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1790, 1804175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty