Provider Demographics
NPI:1063957447
Name:HEALING TREE FAMILY MEDICINE
Entity type:Organization
Organization Name:HEALING TREE FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATH
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:541-399-9833
Mailing Address - Street 1:116 3RD ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2190
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 3RD ST
Practice Address - Street 2:SUITE 215
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2190
Practice Address - Country:US
Practice Address - Phone:541-399-9733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2060175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty