Tigard Holistic Health Clinic, Llc

LBN: Tigard Holistic Health Clinic, Llc
Tigard Holistic Health Clinic, Llc is an health care organization with primary practice located at 11930 Sw Greenburg Rd , Tigard OR 97223-6453. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Tigard Holistic Health Clinic, Llc can be contacted via phone (503) 639-1712, or through Raffety, Stacey Lynn via phone (503) 639-1712.

Contact Information

Primary practice address
11930 Sw Greenburg Rd Tigard OR 97223-6453
Phone: (503) 639-1712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raffety, Stacey Lynn ND
Phone: (503) 639-1712

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0855 Oregon

Profile Details

NPI number 1053670117
LBN Legal business name Tigard Holistic Health Clinic, Llc
DBA Doing business as
Authorized official Raffety, Stacey Lynn ND
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2012
Last updated May 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053670117 NPPES
Oregon Other 1003861493 NATUROPATHIC

Popular Providers