RESTORATIVE HEALTH CLINIC, LLC (NPI# 1457605610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457605610 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE HEALTH CLINIC, LLC |
| Practice Address |
17685 65th Ave Suite 300 Lake Oswego OR 97035-7800 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 5037472021 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | DR. WERNER VOSLOO (OWNER) |
| Authorized Official Telephone | 5037472021 |
| Authorized Official Credential | ND |
| Is Organization Subpart | Y |
| Parent Organization Name | RESTORATIVE HEALTH CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
17685 65TH AVE SUITE 300 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922027770 | Christopher Lien Hatlestad | Family Medicine | 17685 65th Ave, Suite 300, Lake Oswego, OR 97035-7800 | 2006-07-19 |
| 1487905428 | Kaley Anne Bourgeois | Naturopath | 17685 65th Ave, Suite 300, Lake Oswego, OR 97035-7800 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012955 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 111 A Ave, Lake Oswego, OR 97034-3116 | 2020-08-04 |
| 1558609875 | Healthy Life Centre for Wellness, LLC | Non-Pharmacy Dispensing Site | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2013-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
| 1366052367 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 25600 Sw Argyle Ave Ste B, Wilsonville, OR 97070-4701 | 2020-08-04 |
| 1659981652 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2711 Ne Town Center Dr Ste 2, Hillsboro, OR 97006-8951 | 2020-08-04 |
| 1902416175 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8179 N Lombard St, Portland, OR 97203-3130 | 2020-08-03 |
| 1144830365 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 945 Nw Lovejoy St, Portland, OR 97209-3475 | 2020-08-03 |
| 1174133300 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 7855 Sw Capitol Hwy, Portland, OR 97219-2465 | 2020-08-03 |
| 1386254514 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 3872 N Mississippi Ave, Portland, OR 97227-1161 | 2020-08-03 |
| 1194335364 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2490 Willamette St Ste 4, Eugene, OR 97405-7211 | 2020-08-03 |
| 1265042436 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 11355 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2020-08-03 |
| 1033729207 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2990 Commercial St Se Ste 160, Salem, OR 97302-5178 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on RESTORATIVE HEALTH CLINIC, LLC.
| 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.