Provider Demographics
NPI:1194947283
Name:MADRONA NATUROPATHIC MEDICINE CLINIC, PC
Entity type:Organization
Organization Name:MADRONA NATUROPATHIC MEDICINE CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:STAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:ND, RD
Authorized Official - Phone:541-488-9160
Mailing Address - Street 1:1875 HWY 99 N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520
Mailing Address - Country:US
Mailing Address - Phone:541-488-9160
Mailing Address - Fax:541-488-9161
Practice Address - Street 1:1875 HWY 99 N
Practice Address - Street 2:SUITE 2
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:541-488-9160
Practice Address - Fax:541-488-9161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care