Healthcare Provider Details

I. General information

NPI: 1275450298
Provider Name (Legal Business Name): INNER TIDES INTEGRATIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7415 N OATMAN AVE
PORTLAND OR
97217-1213
US

IV. Provider business mailing address

7415 N OATMAN AVE
PORTLAND OR
97217-1213
US

V. Phone/Fax

Practice location:
  • Phone: 503-495-3387
  • Fax:
Mailing address:
  • Phone: 503-495-3387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHEL I LEBER
Title or Position: NATUROPATHIC DOCTOR
Credential: ND
Phone: 503-495-3387