Provider Demographics
NPI:1861930240
Name:MOUNTAIN VIEW NATUROPATHIC MEDICINE, INC.
Entity type:Organization
Organization Name:MOUNTAIN VIEW NATUROPATHIC MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:512-947-7144
Mailing Address - Street 1:2115 NE WYATT CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7678
Mailing Address - Country:US
Mailing Address - Phone:541-249-3626
Mailing Address - Fax:541-460-5606
Practice Address - Street 1:2115 NE WYATT CT
Practice Address - Street 2:SUITE 101
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7678
Practice Address - Country:US
Practice Address - Phone:541-249-3626
Practice Address - Fax:541-460-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1190175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty