The Clover Clinic, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

OR1845 Issued in OR

Legal business name

THE CLOVER CLINIC, LLC

Practice address

1530 E 1St St
Newberg, OR 97132-3237

Phone

(503) 487-6018

Fax

(503) 487-6127

NPI assigned

Jun 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leah Michelle Olsen, ND

Title

Lead Physician and Owner

Phone

(503) 432-5555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1033522149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-487-6018",
            "fax_number": "503-487-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-487-6018",
            "fax_number": "503-487-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLOVER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LEAD PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "503-432-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "OR1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Newberg, OR
• Providers in Newberg, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.