Gift of Life Clinic
Gift of Life Clinic provides Specialist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
- Specialties on file
- 3
Practice location Address checks out
4259 NE Broadway StPortland, OR 97213-1421 Not confirmed with CMS for 14 years — call before visiting
Phone: (503) 235-2259
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Naturopath (primary) | Taxonomy 175F00000X · Licence 1481 & 1618 (OR) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 7621 (OR) |
| Midwife | Taxonomy 176B00000X · Licence 84-OB (OR) |
Record details
| NPI number | 1407128309 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mia Crupper — Co-Owner, Naturopathic Doctor · (503) 235-2259 |
| NPI enumerated | February 8, 2012 |
| Last updated in NPPES | February 8, 2012 |
| Mailing address | 4259 Ne Broadway St, Portland, OR 97213-1421 |
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