Awaken Natural Medicine Inc

LBN: Awaken Natural Medicine Inc
Awaken Natural Medicine Inc is an health care organization with primary practice located at 505 Nw 9Th Ave , Portland OR 97209-3578. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Awaken Natural Medicine Inc can be contacted via phone (503) 422-6913, or through Gutierrez, Kimberly Sue via phone (503) 422-6913.

Contact Information

Primary practice address
505 Nw 9Th Ave Portland OR 97209-3578
Phone: (503) 422-6913
Fax: (888) 511-7659
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez, Kimberly Sue ND RPH
Phone: (503) 422-6913

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1538794391
LBN Legal business name Awaken Natural Medicine Inc
DBA Doing business as
Authorized official Gutierrez, Kimberly Sue ND RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2020
Last updated Mar 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538794391 NPPES
Oregon MEDICAID 500721816

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