NPI 1093134496

Red Leaf Natural Health Clinic

Organisation General Practice Physician Portland, OR

Practice location

Address: 833 SW 11th Ave STE 1018, Portland, OR 97205-2124
Phone: (503) 224-2525
Fax: (503) 224-3397

Authorised official

Name: Raina Monet Lasse
Title: Owner
Phone: (503) 754-8175

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1524 (OR)

Other General Practice providers in Oregon →

Registry record

NPI: 1093134496
Entity type: Organization
NPI issued: 14 Apr 2014
Record last updated: 14 Apr 2014

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.