MEDICARE: A BETTER CHOICE

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
1	175F00000X	Naturopath	1299	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235436411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER CHOICE

Provider Business Mailing Address
First Line	:	6214 SE MILWAUKIE AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-5417
Country	:	US
Telephone Number	:	503-772-0084
Fax Number	:	503-233-8995

Provider Business Practice Location Address
First Line	:	6214 SE MILWAUKIE AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-5417
Country	:	US
Telephone Number	:	503-772-0084
Fax Number	:	503-233-8995

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ADELINE MICHELLE KELL
Credential	:	ND
Telephone Number	:	503-772-0084

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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Directions to “A BETTER CHOICE ” Practice Location

Language	Start Address	Practice Location

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