Healthcare Provider Details

I. General information

NPI: 1902536212
Provider Name (Legal Business Name): ORGANIC PHARMACY RESEARCH INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 09/16/2023
Certification Date: 09/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15935 NE 8TH ST STE A101
BELLEVUE WA
98008-3918
US

IV. Provider business mailing address

PO BOX 2020
DELANO CA
93216-2020
US

V. Phone/Fax

Practice location:
  • Phone: 805-449-9299
  • Fax:
Mailing address:
  • Phone: 661-302-9002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ANDREW SANDERS
Title or Position: DIRECTOR / CFO
Credential:
Phone: 805-449-9299