Healthcare Provider Details

I. General information

NPI: 1124395546
Provider Name (Legal Business Name): 8 HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7455 SW BEVELAND RD
TIGARD OR
97223
US

IV. Provider business mailing address

7455 SW BEVELAND RD
TIGARD OR
97223
US

V. Phone/Fax

Practice location:
  • Phone: 504-894-9118
  • Fax: 503-894-7398
Mailing address:
  • Phone: 504-894-9118
  • Fax: 503-894-7398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1563
License Number StateOR

VIII. Authorized Official

Name: DR. JOSH LUPER
Title or Position: CLINIC OPERATIONS MANAGER
Credential: DAC
Phone: 503-894-9118