Healthcare Provider Details

I. General information

NPI: 1700045887
Provider Name (Legal Business Name): NATURAL ORTHOPEDIC & ENVIRONMENTAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 06/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3694 PACIFIC HWY
HUBBARD OR
97032-0639
US

IV. Provider business mailing address

PO BOX 299
HUBBARD OR
97032-0299
US

V. Phone/Fax

Practice location:
  • Phone: 503-982-8683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1188
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number273128
License Number StateOR

VIII. Authorized Official

Name: DR. DAVID MILROY
Title or Position: PARTNER
Credential: ND
Phone: 503-982-8683