NPI 1083300628
Oregon Trail Integrative Care, LLC
Practice location
- Address
- 17500 Strauss Ave, Sandy, OR 97055-8060
- Phone
- (503) 668-5822
- Fax
- (503) 668-3662
- Mailing address
- PO Box 909, Boring, OR 97009-0909
Authorised official
- Name
- Jonathan Clifton Rhue
- Title
- Owner
- Phone
- (503) 201-7532
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1083300628
- Entity type
- Organization
- NPI issued
- 17 Apr 2023
- Record last updated
- 17 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.