Provider Demographics
NPI:1841843778
Name:PACIFIC CLINIC OF NATURAL MEDICINE
Entity type:Organization
Organization Name:PACIFIC CLINIC OF NATURAL MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-894-8977
Mailing Address - Street 1:511 SW 10TH AVE STE 707
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2708
Mailing Address - Country:US
Mailing Address - Phone:503-894-8977
Mailing Address - Fax:833-551-4832
Practice Address - Street 1:511 SW 10TH AVE STE 1107
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2712
Practice Address - Country:US
Practice Address - Phone:971-279-7260
Practice Address - Fax:833-551-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty