Organization · Type 2 NPI

Evergreen Integrative Medicine, LLC

Health Service Clinic/Center · Portland, OR

NPI number 1407237175 Active

Practice location

4926 SE Woodstock Blvd
Portland, OR 97206-6163

Call (503) 388-6715 Map

Fax (888) 302-5652

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X1333 (OR)

Health Service Clinic/Center: Definition to come...

Another provider at this address

Other health service clinic/center providers in Portland

See all in Portland →

About NPI 1407237175

Evergreen Integrative Medicine, LLC's National Provider Identifier is 1407237175, issued on Jun 17, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Portland, OR. The record was last updated on Mar 24, 2022.