Provider Demographics
NPI:1043694300
Name:JOVIAL HEALTH SOLUTIONS
Entity type:Organization
Organization Name:JOVIAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:509-879-6020
Mailing Address - Street 1:4938 SE WOODSTOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-6163
Mailing Address - Country:US
Mailing Address - Phone:503-897-0502
Mailing Address - Fax:888-631-0873
Practice Address - Street 1:4938 SE WOODSTOCK BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-6163
Practice Address - Country:US
Practice Address - Phone:503-897-0502
Practice Address - Fax:888-631-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1922175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty