Fertile Ground Family Center, Llc

LBN: Fertile Ground Family Center, Llc
Fertile Ground Family Center, Llc is an health care organization with primary practice located at 3575 Ne Broadway St , Portland OR 97232-1820. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Birthing, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Fertile Ground Family Center, Llc can be contacted via phone (503) 284-6195, or through Peterson, Caroline via phone (503) 284-6195.

Contact Information

Primary practice address
3575 Ne Broadway St Portland OR 97232-1820
Phone: (503) 284-6195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Caroline DC, PHD, MPH, LDM
Phone: (503) 284-6195

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Birthing 261QB0400X DEM-LD-10144749 Oregon
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2921 Oregon

Profile Details

NPI number 1558607812
LBN Legal business name Fertile Ground Family Center, Llc
DBA Doing business as
Authorized official Peterson, Caroline DC, PHD, MPH, LDM
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2012
Last updated Dec 13th, 2012 - about 14 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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