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Contact Information

NOURISHING LIFE COLLECTIVE
3115 NE SANDY BLVD STE 231
PORTLAND, OR97232-2779
 Phone: 917-319-0518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Integrative Medicine

202D00000X
 

Massage Therapist

225700000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NOURISHING LIFE COLLECTIVE

NPI # 1992648968
LBN Legal business name NOURISHING LIFE COLLECTIVE
Authorized official HAYLEY JENSEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2026
Last updated 04/13/2026 - About 2 months ago
Identifiers n/a
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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