Provider Demographics
NPI:1528495603
Name:BINGHAM, NATHANIEL JAMES (ND)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:JAMES
Last Name:BINGHAM
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3402
Mailing Address - Country:US
Mailing Address - Phone:541-636-3079
Mailing Address - Fax:866-898-9393
Practice Address - Street 1:311 W 13TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3402
Practice Address - Country:US
Practice Address - Phone:541-636-3079
Practice Address - Fax:866-898-9393
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1966175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath