Provider Demographics
NPI:1841992914
Name:MEDICINE WITHIN LLC
Entity type:Organization
Organization Name:MEDICINE WITHIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-740-3693
Mailing Address - Street 1:61060 SUM VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9266
Mailing Address - Country:US
Mailing Address - Phone:503-740-3693
Mailing Address - Fax:541-550-1995
Practice Address - Street 1:61060 SUM VIEW DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-9266
Practice Address - Country:US
Practice Address - Phone:503-740-3693
Practice Address - Fax:541-550-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty