Gift Of Life Clinic

LBN: Gift Of Life Clinic
Gift Of Life Clinic is an health care organization with primary practice located at 4259 Ne Broadway St , Portland OR 97213-1421. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Naturopath, Other Service Providers / Midwife. Other Service Providers / Naturopath is the primary health care specialty. Gift Of Life Clinic can be contacted via phone (503) 235-2259, or through Crupper, Mia via phone (503) 235-2259.

Contact Information

Primary practice address
4259 Ne Broadway St Portland OR 97213-1421
Phone: (503) 235-2259
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crupper, Mia N.D., L.M.T
Phone: (503) 235-2259

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7621 Oregon
Other Service Providers / Naturopath 175F00000X 1481 & 1618 Oregon
Other Service Providers / Midwife 176B00000X 84-OB Oregon

Profile Details

NPI number 1407128309
LBN Legal business name Gift Of Life Clinic
DBA Doing business as
Authorized official Crupper, Mia N.D., L.M.T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2012
Last updated Feb 8th, 2012 - about 12 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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