MEDICARE: NATURAL HEALING NORTHWEST

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1770307142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL HEALING NORTHWEST

Provider Business Mailing Address
First Line	:	15915 S BOULDER DR
Second Line	:
City	:	MULINO
State	:	OR
Zip	:	97042-9755
Country	:	US
Telephone Number	:	503-545-8303
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 7TH ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-2346
Country	:	US
Telephone Number	:	503-545-8303
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ISAAC SLAUGHTER
Credential	:	LMT
Telephone Number	:	503-545-8303

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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Directions to “NATURAL HEALING NORTHWEST ” Practice Location

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