Healthcare Provider Details

I. General information

NPI: 1073851028
Provider Name (Legal Business Name): DIA NATURAL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2013
Last Update Date: 01/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15160 NW LAIDLAW RD STE 250
PORTLAND OR
97229-7722
US

IV. Provider business mailing address

15160 NW LAIDLAW RD STE 250
PORTLAND OR
97229-7722
US

V. Phone/Fax

Practice location:
  • Phone: 503-660-3550
  • Fax: 503-506-0528
Mailing address:
  • Phone: 503-660-3550
  • Fax: 503-506-0528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1819
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number1819
License Number StateOR

VIII. Authorized Official

Name: SHALINI ALMEIDA
Title or Position: OWNER
Credential: ND
Phone: 503-660-3550