Healthcare Provider Details

I. General information

NPI: 1235436411
Provider Name (Legal Business Name): A BETTER CHOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6214 SE MILWAUKIE AVE
PORTLAND OR
97202-5417
US

IV. Provider business mailing address

6214 SE MILWAUKIE AVE
PORTLAND OR
97202-5417
US

V. Phone/Fax

Practice location:
  • Phone: 503-772-0084
  • Fax: 503-233-8995
Mailing address:
  • Phone: 503-772-0084
  • Fax: 503-233-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1299
License Number StateOR

VIII. Authorized Official

Name: DR. ADELINE MICHELLE KELL
Title or Position: OWNER
Credential: ND
Phone: 503-772-0084