A Wellspring of Natural Health
Organization Active NPI Naturopath · Beaverton, OR
NPI 1942645346 · NPPES record last updated Apr 30, 2013
Key facts
- NPI
- 1942645346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Naturopath 175F00000X
- License
- 696 (OR)
- Legal business name
- A WELLSPRING OF NATURAL HEALTH
- Practice address
- 4720 SW Watson Ave
Beaverton, OR 97005-0511 - Phone
- (503) 526-0397
- Fax
- (503) 643-4633
- NPI assigned
- Apr 30, 2013
- Organization subpart
- No
Authorized official
- Name
- Marilyn Wasson
- Title
- Billing Manager
- Phone
- (503) 526-0397
Practitioners 2
-
Lori Beth Stargrove, N.D.
-
Mitchell Bebel Stargrove, N.D., L.AC.
National Provider Directory
Locations
4720 SW Watson Ave
Beaverton, OR 97005
Phone (503) 526-0397
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | 95 | OR | |
| Naturopath |
175F00000X | 696 | OR | Yes |
| Naturopath |
175F00000X | 753 | OR |
Addresses
Primary practice location
4720 SW Watson Ave
Beaverton, OR 97005-0511
Mailing address
4720 SW Watson Ave
Beaverton, OR 97005-0511
Phone (503) 526-0397
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.