Provider Demographics
NPI:1982697140
Name:HILLSBORO NATUROPATHIC CLINIC LLC
Entity Type:Organization
Organization Name:HILLSBORO NATUROPATHIC CLINIC LLC
Other - Org Name:HNC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTSKOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-844-6667
Mailing Address - Street 1:245 SE 4TH AVE
Mailing Address - Street 2:STE E
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4033
Mailing Address - Country:US
Mailing Address - Phone:503-844-6667
Mailing Address - Fax:
Practice Address - Street 1:245 SE 4TH AVE
Practice Address - Street 2:STE E
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4033
Practice Address - Country:US
Practice Address - Phone:503-844-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty