Healthcare Provider Details

I. General information

NPI: 1952877342
Provider Name (Legal Business Name): CADENCE NATURAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 10/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SE CLINTON ST
PORTLAND OR
97202-1130
US

IV. Provider business mailing address

1540 SE CLINTON ST
PORTLAND OR
97202-1130
US

V. Phone/Fax

Practice location:
  • Phone: 971-238-3122
  • Fax: 971-277-2455
Mailing address:
  • Phone: 971-238-3122
  • Fax: 971-277-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: CONSTANCE OHLINGER
Title or Position: OWNER
Credential: ND
Phone: 971-238-3122