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NPI Code Detail

MEDICARE: JOVIAL HEALTH SOLUTIONS

MEDICARE: JOVIAL HEALTH SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath1922OR

General Provider Information

NPI Number : 1043694300
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOVIAL HEALTH SOLUTIONS
Provider Business Mailing Address
First Line : 4938 SE WOODSTOCK BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-6163
Country : US
Telephone Number : 503-897-0502
Fax Number : 888-631-0873
Provider Business Practice Location Address
First Line : 4938 SE WOODSTOCK BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-6163
Country : US
Telephone Number : 503-897-0502
Fax Number : 888-631-0873
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. JOANNA K MAY
Credential : ND
Telephone Number : 509-879-6020
Provider Enumeration Date : 07/16/2015
Last Update Date : 07/16/2015

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Directions to “JOVIAL HEALTH SOLUTIONS ” Practice Location

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