Provider Demographics
NPI:1932483286
Name:HEALTHY HAPPY NOW NATURAL MEDICINE
Entity Type:Organization
Organization Name:HEALTHY HAPPY NOW NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYMONETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:206-724-7096
Mailing Address - Street 1:505 NW 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-3578
Mailing Address - Country:US
Mailing Address - Phone:503-308-9363
Mailing Address - Fax:
Practice Address - Street 1:505 NW 9TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3578
Practice Address - Country:US
Practice Address - Phone:503-308-9363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC150411171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty