Forest Medicine LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1798 Issued in OR

Legal business name

FOREST MEDICINE LLC

Doing business as

Water of Life Natural Health

Practice address

22400 SE Stark St Ste 105
Gresham, OR 97030-2656

Phone

(503) 250-0440

NPI assigned

Oct 1, 2015

Organization subpart

Yes

Parent organization

94985497As reported in NPPES

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

Authorized official

Name

Dr. Kathryn Olivia Kloos, N.D.

Title

Owner

Phone

(503) 250-0440

Specialties & licenses 1

Addresses

Other names 1

• Water of Life Natural Health Doing business as

Part of

Forest Medicine LLC

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1154791275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970190116",
            "telephone_number": "503-250-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST STE 105",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-250-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "94985497",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "KLOOS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-250-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water of Life Natural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therease Marie Foley, FNP
• Micala Mikael Folkedahl, DC
• Randolph William G. Ford, DVM
• James Wesley Forehand, AAS BC-HIS
• Frank James Foreman, DDS
• Kimberly Forrest
• Dawn Forrester, MS
• Brandon Jerome Foster
• Emma Jane Foulke
• Georgia Fountas, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.