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Contact Information

EXPANSIVE BEING LLC
314 NE 19TH AVE
PORTLAND, OR97232-2829
 Phone: 503-239-8181
 Fax: 503-548-4013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for EXPANSIVE BEING LLC

NPI # 1265795991
LBN Legal business name EXPANSIVE BEING LLC
Authorized official JESSICA MCMANUS - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2012
Last updated 05/18/2021 - About 5 years ago
Identifiers
OR License # 1435
OR Medicaid 500671340
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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