Healthcare Provider Details

I. General information

NPI: 1902500515
Provider Name (Legal Business Name): REDEFINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 N FIR ST SUITE 101
SISTERS OR
97759-0180
US

IV. Provider business mailing address

PO BOX 217
SISTERS OR
97759-0217
US

V. Phone/Fax

Practice location:
  • Phone: 541-200-7773
  • Fax: 855-475-8027
Mailing address:
  • Phone: 541-200-7773
  • Fax: 855-475-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHRYN BROOKS
Title or Position: OWNER
Credential: ND, LAC
Phone: 541-200-7773