Provider Demographics
NPI:1104084094
Name:HEART OF HEALTH NATUROPATHIC CLINIC, LLC
Entity type:Organization
Organization Name:HEART OF HEALTH NATUROPATHIC CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:OCONNOR
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-885-0989
Mailing Address - Street 1:918 SE 164TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9603
Mailing Address - Country:US
Mailing Address - Phone:360-885-0989
Mailing Address - Fax:360-885-2438
Practice Address - Street 1:918 SE 164TH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9603
Practice Address - Country:US
Practice Address - Phone:360-885-0989
Practice Address - Fax:360-885-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001106175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR112784OtherKAISER PERMANENTE PROV ID