Provider Demographics
NPI:1669161832
Name:CANTER NATUROPATHIC, LLC
Entity type:Organization
Organization Name:CANTER NATUROPATHIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:CALEB
Authorized Official - Last Name:CANTER
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:503-765-5711
Mailing Address - Street 1:2305 SE 50TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3853
Mailing Address - Country:US
Mailing Address - Phone:503-765-5711
Mailing Address - Fax:971-350-3060
Practice Address - Street 1:2305 SE 50TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3853
Practice Address - Country:US
Practice Address - Phone:503-765-5711
Practice Address - Fax:971-350-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty