CORVALLIS NATURAL MEDICINE, INC (NPI# 1376856864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376856864 |
| Entity Type | Organization |
| Organization Name | CORVALLIS NATURAL MEDICINE, INC |
| Practice Address |
999 Nw Circle Blvd Corvallis OR 97330-1408 |
| Practice Telephone | 5417542225 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | DR. DEBORAH NIXDORF (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5417542225 |
| Authorized Official Credential | ND, LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | AC01019 | OR | Other Service Providers |
| Y | 175F00000X | Naturopath | 1514 | OR | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORVALLIS NATURAL MEDICINE, INC. | 305 Sw C Ave Ste 1, Corvallis, OR 97333 |
| Street Address |
999 NW CIRCLE BLVD |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710576 | Dennis R Epstein | Social Worker | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2006-05-24 |
| 1598223083 | Kelly Lynn Crosby | Massage Therapist | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2019-03-04 |
| 1780127795 | Mws Chiropractic, Inc | Clinic/Center | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2016-11-22 |
| 1235476680 | Michael Sorah | Clinic/Center | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2013-01-04 |
| 1740585074 | John Marshall Winckler | Chiropractor | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2011-01-18 |
| 1639210065 | Deborah Nixdorf | Acupuncturist | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2007-02-09 |
| 1962559625 | Michael Wade Sorah | Chiropractor | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2007-01-04 |
| 1790714574 | Benedict James Maus | Acupuncturist | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2006-07-02 |
| 1396785283 | George Rolland House IIi | Chiropractor | 999 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912280942 | Deborah Elizabeth Anderson | Naturopath | 252 Sw Madison Ave, Suite 180, Corvallis, OR 97333-4891 | 2011-09-26 |
| 1710116074 | Abigail Wojcikiewicz | Naturopath | 2856 Nw Van Buren Ave Apt 3, Corvallis, OR 97330-5257 | 2009-07-08 |
| 1396960175 | Cinda Marie Flynn | Naturopath | 1220 Nw Kings Blvd, Corvallis, OR 97330-2521 | 2007-04-16 |
| 1124152533 | Thomas Michael Rogers | Naturopath | 442 Nw 4th St., Suite 101, Corvallis, OR 97330 | 2007-03-15 |
| 1780716738 | Core Vitality Clinic | Naturopath | 442 Nw 4th St, Suite 101, Corvallis, OR 97330-6491 | 2007-03-12 |
| 1205888302 | One Heart Heals Holistic Healthcare, PC | Naturopath | 1515 Nw 9th St, Corvallis, OR 97330-4512 | 2006-05-17 |
| 1821080789 | Alan Kadish | Naturopath | 985 Nw 23rd St, Corvallis, OR 97330-4309 | 2005-08-17 |
| 1760020200 | Mary J Boucher | Naturopath | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-12-16 |
| 1811317928 | Katheryn Nuckolls | Naturopath | 650 Sw 3rd St, Corvallis, OR 97333 | 2014-04-16 |
| 1881946986 | Amanda Lee Richardson-meyer | Naturopath | 426 Nw 4th St, Corvallis, OR 97330-6409 | 2012-10-12 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.