Provider Demographics
NPI:1770307142
Name:NATURAL HEALING NORTHWEST
Entity type:Organization
Organization Name:NATURAL HEALING NORTHWEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-545-8303
Mailing Address - Street 1:15915 S BOULDER DR
Mailing Address - Street 2:
Mailing Address - City:MULINO
Mailing Address - State:OR
Mailing Address - Zip Code:97042-9755
Mailing Address - Country:US
Mailing Address - Phone:503-545-8303
Mailing Address - Fax:
Practice Address - Street 1:707 7TH ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2346
Practice Address - Country:US
Practice Address - Phone:503-545-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation