- Practice location
- 10200 SW Eastridge St, #135, Portland, OR 97225-5064
- Phone
- 503-583-3235
- Fax
- —
- Last updated
- July 26, 2016
Blue Autumn Balance, LLC is a healthcare organization based in Portland, OR. Blue Autumn Balance, LLC practices in Portland, OR. The NPI Number for Blue Autumn Balance, LLC is 1851844815 and holds a License No. 1279 (OR). The current practice location address for Blue Autumn Balance, LLC is 10200 SW Eastridge St, #135, Portland, OR 97225-5064 and can be reached out via phone at 503-583-3235.
Provider Profile Details
- NPI Number
- 1851844815
- Provider Name
- Blue Autumn Balance, LLC
- Provider Entity Type
- Organization
- Address
- 10200 SW Eastridge St, #135, Portland, OR 97225-5064
- Phone Number
- 503-583-3235
- Primary Taxonomy
- Naturopath · 175F00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Beverly Ki Hacely, ND, LAC · Owner · 503-583-3235
- Provider Enumeration Date
- July 26, 2016
- Last Update Date
- July 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10200 SW Eastridge St
#135
Portland, OR 97225-5064 - City
- Portland
- State
- Oregon
- Zip
- 97225-5064
- Phone Number
- 503-583-3235
Provider Business Mailing Address Details
- Address
- 2850 SW Cedar Hills Blvd
#254
Beaverton, OR 97005-1354 - City
- Beaverton
- State
- OR
- Zip
- 97005-1354
- Phone Number
- 503-583-3235
License Information
- License Number
- 1279
- License State
- OR
- Taxonomy
- Naturopath · 175F00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blue Autumn Balance, LLC?
The NPI number of Blue Autumn Balance, LLC is 1851844815. It was assigned on July 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Blue Autumn Balance, LLC?
Blue Autumn Balance, LLC is registered under the primary taxonomy Naturopath (code 175F00000X), licensed in OR under license number 1279.
Where does Blue Autumn Balance, LLC practice?
The practice location is 10200 SW Eastridge St, #135, Portland, OR 97225-5064. The office can be reached at 503-583-3235 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851844815 directly on the NPPES registry website.