Provider Demographics
NPI:1982132809
Name:SALEM NATUROPATHIC CLINIC, PC
Entity Type:Organization
Organization Name:SALEM NATUROPATHIC CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:JR
Authorized Official - Credentials:ND
Authorized Official - Phone:503-364-1441
Mailing Address - Street 1:1305 BROADWAY ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1425
Mailing Address - Country:US
Mailing Address - Phone:503-364-1441
Mailing Address - Fax:503-364-9924
Practice Address - Street 1:1305 BROADWAY ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1425
Practice Address - Country:US
Practice Address - Phone:503-364-1441
Practice Address - Fax:503-364-9924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty