Amenda Clinic

LBN: Expansive Being Llc
Amenda Clinic is an health care organization with primary practice located at 314 Ne 19Th Ave , Portland OR 97232-2829. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is the primary health care specialty. Expansive Being Llc can be contacted via phone (503) 239-8181, or through Mcmanus, Jessica via phone (541) 521-9151.

Contact Information

Primary practice address
314 Ne 19Th Ave Portland OR 97232-2829
Phone: (503) 239-8181
Fax: (503) 548-4013
Website:
Map and Directions
Authorized official contact:
Name: Mcmanus, Jessica
Phone: (541) 521-9151

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Other Service Providers / Naturopath 175F00000X 1435 Oregon

Profile Details

NPI number 1265795991
LBN Legal business name Expansive Being Llc
DBA Doing business as Amenda Clinic
Authorized official Mcmanus, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2012
Last updated May 18th, 2021 - about 3 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 1265795991 NPPES
Oregon MEDICAID 500671340

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