Provider Demographics
NPI:1962706226
Name:HEALING WELL NATUROPATHIC, LLC
Entity type:Organization
Organization Name:HEALING WELL NATUROPATHIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-383-1256
Mailing Address - Street 1:370 LIBERTY ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3510
Mailing Address - Country:US
Mailing Address - Phone:503-383-1256
Mailing Address - Fax:503-383-1257
Practice Address - Street 1:370 LIBERTY ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3510
Practice Address - Country:US
Practice Address - Phone:503-383-1256
Practice Address - Fax:503-383-1257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1725261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013230291OtherNPI 1