Provider Demographics
NPI:1902685746
Name:THRIVE INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:THRIVE INTEGRATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:MARISSA
Authorized Official - Last Name:LAING
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-593-9971
Mailing Address - Street 1:3835 SPENARD RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-2678
Mailing Address - Country:US
Mailing Address - Phone:907-274-9355
Mailing Address - Fax:907-274-9345
Practice Address - Street 1:3835 SPENARD RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-2678
Practice Address - Country:US
Practice Address - Phone:907-274-9355
Practice Address - Fax:907-274-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1568929446OtherNPI
AK1063806388OtherNPI
AK1003306713OtherNPI
CA1053776229OtherNPI
AK1720505449OtherNPI