Core Vitality Clinic

Primary specialty

NaturopathTaxonomy code 175F00000X

License

2033 Issued in OR

Legal business name

CORE VITALITY CLINIC

Practice address

442 NW 4TH St
Suite 101
Corvallis, OR 97330-6491

Phone

(541) 602-0260

Fax

(541) 753-4217

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alicia D. Rogers, ND

Title

President

Phone

(541) 602-0260

Specialties & licenses 2

Addresses

Other names 1

• Grace Good Health NW Doing business as

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1780716738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 NW 4TH ST",
            "address_2": "SUITE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306491",
            "telephone_number": "541-602-0260",
            "fax_number": "541-753-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 NW 4TH ST",
            "address_2": "SUITE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306491",
            "telephone_number": "541-602-0260",
            "fax_number": "541-753-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE VITALITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-602-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2033",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Good Health NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackyle Copley-Scitern
• Susan A Corcoran, FNP, CNM
• Jason Cordero
• Whitney Cordes
• Jennifer Cordova-Flores
• Dominique Lea Corellas
• Jacquelyn Corley, M.D.
• Abby Leigh Corliss, B.S.
• Elena Cornelius
• Lisa Ann Cornelius, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.