Provider Demographics
NPI:1639708480
Name:GEORGE, SAYVI RENEE (ND)
Entity type:Individual
Prefix:DR
First Name:SAYVI
Middle Name:RENEE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 NE DONCASTER LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-9047
Mailing Address - Country:US
Mailing Address - Phone:340-998-8678
Mailing Address - Fax:
Practice Address - Street 1:2100 SW CAMELOT CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3700
Practice Address - Country:US
Practice Address - Phone:503-252-8125
Practice Address - Fax:503-256-8422
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR112-OB176B00000X
OR4149175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty